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Individual

MRS. STACY SHRESTHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-C

Contact information

Practice address
7100 NORTHLAND CIRCLE N, STE 119, BROOKLYN PARK, MN 55428
(952) 456-6160
(952) 835-9830
Mailing address
7100 NORTHLAND CIRCLE N, STE 119, BROOKLYN PARK, MN 55428
(952) 456-6160
(952) 835-9830

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5318
MN
363LA2200X
Adult Health Nurse Practitioner
2066288
MN

Other

Enumeration date
10/26/2017
Last updated
10/26/2017
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