Individual
DIANE M BUDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1700 UNIVERSITY AVE W, MEDICAL ADVANCED PAIN SPECIALISTS, SAINT PAUL, MN 55104-3727
(763) 537-6000
(763) 537-6666
Mailing address
2104 NORTHDALE BLVD NW, SUITE 220 MEDICAL ADVANCED PAIN SPECIALISTS, MINNEAPOLIS, MN 55433-3028
(763) 537-6000
(763) 537-6666
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1642632
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
542490900
—
MN
Enumeration date
05/01/2006
Last updated
06/03/2022
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