Individual
STACIE STRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3433 BROADWAY ST NE STE 300, MINNEAPOLIS, MN 55413-1761
(763) 587-7737
(763) 587-7069
Mailing address
12839 BLUEBIRD ST NW, COON RAPIDS, MN 55448-4025
(612) 267-2254
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP 4947
MN
Other
Enumeration date
12/21/2016
Last updated
05/21/2024
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