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Individual

MARY ANN KOLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
3301 7TH AVE, ANOKA, MN 55303
(651) 431-5000
Mailing address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5000

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3538
FL
363LA2200X
Adult Health Nurse Practitioner
63181-030
WI
363LA2200X
Adult Health Nurse Practitioner
AP60609520
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP9458523
FL

Other

Enumeration date
05/12/2007
Last updated
05/01/2019
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