Individual
VICTORIA A EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
401 PHALEN BLVD, MC 41103F, SAINT PAUL, MN 55130-5302
(651) 254-7600
(651) 254-7623
Mailing address
401 PHALEN BLVD, MC 41103F, SAINT PAUL, MN 55130-5302
(651) 254-7600
(651) 254-7623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0711098
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
636719400
—
MN
Enumeration date
02/02/2006
Last updated
07/19/2011
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