Individual
REBECCA LYNNE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Mailing address
3601 17TH AVE S, MINNEAPOLIS, MN 55407-2805
(612) 669-8965
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R1712999
MN
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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