Individual
EMILY SCOLLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 HIGHWAY 96 E, WHITE BEAR LAKE, MN 55110-3653
(651) 653-2100
(651) 653-2125
Mailing address
PO BOX 1309, MS 21110Q, MINNEAPOLIS, MN 55440-1309
(651) 653-2100
(651) 653-2125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R222209-3
MN
363L00000X
Nurse Practitioner
CNP 5015
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP 5015
MN
Other
Enumeration date
12/10/2016
Last updated
03/21/2017
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