Individual
MELISSA JO NORDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(952) 993-9632
Mailing address
9972 QUAKER LN N, MAPLE GROVE, MN 55369-3546
(763) 425-5842
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
R 134425-7
MN
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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