Individual
ALICIA CHRISTINE DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3135
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(651) 254-3135
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1809
MN
363LF0000X
Family Nurse Practitioner
1809
MN
Other
Enumeration date
07/10/2009
Last updated
08/22/2023
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