Individual
MICHELLE L CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Contact information
Practice address
4855 W ARROWHEAD RD, HERMANTOWN, MN 55811-3936
(218) 786-3540
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP6851
MN
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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