Individual
JESSICA THANE ZALDIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CNP
Contact information
Practice address
1200 LAGOON AVE, MINNEAPOLIS, MN 55408-2077
(612) 821-6157
Mailing address
4243 PLEASANT AVE, MINNEAPOLIS, MN 55409-1919
(612) 803-9462
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
172132-0
MN
Other
Enumeration date
08/05/2009
Last updated
11/16/2009
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