Individual
MS. MARJORIE LOUISE AUDETTE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP , RN
Contact information
Practice address
3250 WEST 66TH STREET, SUITE 210, EDINA, MN 55435
(952) 927-7337
(952) 927-8610
Mailing address
3250 WEST 66TH STREET, SUITE 210, EDINA, MN 55435
(952) 927-7337
(952) 927-8610
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
88001
MN
364SP0200X
Pediatric Clinical Nurse Specialist
R0510891
MN
Other
Enumeration date
06/10/2005
Last updated
09/11/2025
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