Individual
VIRGINIA C CLEMENTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(150) 762-5403
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
818
MN
363LW0102X
Women's Health Nurse Practitioner
R083720-2
MN
Other
Enumeration date
01/24/2006
Last updated
02/01/2024
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