Individual
NASRA THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1850 BEAM AVE, MAPLEWOOD, MN 55109
(651) 241-9500
Mailing address
1850 BEAM AVE, MAPLEWOOD, MN 55109-1162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5350
MN
Other
Enumeration date
01/10/2018
Last updated
03/11/2021
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