Individual
JUSTINE PEARL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
6485 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3246
(952) 933-1150
(952) 930-3304
Mailing address
6485 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3246
(952) 933-1150
(952) 930-3304
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9897
MN
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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