Individual
BECKY MARIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 626-6736
Mailing address
545 S 2ND ST, UNIT 209, MINNEAPOLIS, MN 55401-2385
(612) 963-2514
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
162597-30
WI
163W00000X
Registered Nurse
Primary
R184226-7
MN
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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