Individual
CATHERINE MARY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
1935 COUNTY ROAD B2 W, SUITE 100, ROSEVILLE, MN 55113-2729
(651) 636-4155
Mailing address
1935 COUNTY ROAD B2 W, SUITE 100, ROSEVILLE, MN 55113-2729
(651) 636-4155
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP 3804
MN
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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