Individual
MARY BESS CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, GNP
Contact information
Practice address
7335 110TH ST E, NORTHFIELD, MN 55057-4832
(507) 581-0621
Mailing address
7335 110TH ST E, NORTHFIELD, MN 55057-4832
(507) 581-0621
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R098201-8
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
1325
MN
363LG0600X
Gerontology Nurse Practitioner
R098201-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103242900
—
MN
Enumeration date
04/14/2006
Last updated
06/18/2024
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