Individual
MRS. CARRIE E HIEMSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
255 SMITH AVE N STE 100, SAINT PAUL, MN 55102-2518
(651) 298-1237
Mailing address
21196 CLEMWOOD DR, PRIOR LAKE, MN 55372-8150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 127923-8
MN
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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