Organization
MICHELLE A ALDRICH RN CNP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A ALDRICH CNP (OWNER)
(612) 306-2598
Entity
Organization
Contact information
Practice address
4215 31ST AVE S, MINNEAPOLIS, MN 55406-3311
(612) 306-2598
(612) 729-9453
Mailing address
4215 31ST AVE S, MINNEAPOLIS, MN 55406-3311
(612) 306-2598
(612) 729-9453
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R 122978-3
MN
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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