Individual
CORI LYNN WASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 HOLLY LN, MANKATO, MN 56001-5422
(507) 388-2120
Mailing address
4065 EAU CLAIRE TRL NE, PRIOR LAKE, MN 55372-1778
(612) 701-7476
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06201826
MN
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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