Individual
JULIA RAE WIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1010 4TH ST, TWO HARBORS, MN 55616-1200
(218) 834-7298
Mailing address
1010 4TH ST, TWO HARBORS, MN 55616-1200
(218) 834-7298
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 078021-0
MN
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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