Individual
DR. STACIE MARIKO AUBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-3456
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9776
MN
363LF0000X
Family Nurse Practitioner
9776
MN
Other
Enumeration date
08/24/2022
Last updated
05/03/2024
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