Individual
WENDY MARIE LOVAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3960 COON RAPIDS BLVD NW STE 200, COON RAPIDS, MN 55433-2569
(763) 236-9236
(763) 236-9250
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2901
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
2901
MN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
R1308691
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791162900
—
MN
Enumeration date
12/05/2005
Last updated
10/18/2024
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