Individual
MS. LISA M RENARD PAULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 HARDING ST NE STE 100, MINNEAPOLIS, MN 55413-2801
(651) 571-0000
Mailing address
401 HARDING ST NE STE 100, MINNEAPOLIS, MN 55413-2801
(651) 571-0000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP825
MN
363LW0102X
Women's Health Nurse Practitioner
CNP825
MN
Other
Enumeration date
03/21/2006
Last updated
03/08/2019
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