Individual
CAROLYN M CERONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1512
(612) 672-6000
Mailing address
1900 STOWE AVE, ARDEN HILLS, MN 55112-7826
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R076160-8
MN
Other
Enumeration date
03/02/2006
Last updated
07/28/2009
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