Individual
MAYA M WALKINGTON-STAUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
3400 W 66TH ST, #290, EDINA, MN 55435-2111
(952) 914-1969
Mailing address
16555 KLAMATH TER, 16555 KLAMATH TERRACE, LAKEVILLE, MN 55044-8425
(612) 859-1138
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R1053357
MN
Other
Enumeration date
03/16/2006
Last updated
04/11/2012
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