Individual
BETH E WODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2800 CHICAGO AVE STE 250, MINNEAPOLIS, MN 55407-1355
(612) 863-4096
(612) 863-2132
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
984
MN
363LF0000X
Family Nurse Practitioner
CNP0984
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630318800
—
MN
Enumeration date
08/10/2006
Last updated
06/03/2025
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