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Individual

ANGELICA MARIA PINEIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1068 LAKE ST S, FOREST LAKE, MN 55025-2639
(407) 810-9007
(651) 982-6035
Mailing address
3776 112TH LN NE, BLAINE, MN 55449-6620
(078) 109-0074

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1986343
MN
363LF0000X
Family Nurse Practitioner
5170
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396272159
NPI
MN
01
1986343
REGISTERED NURSE LICENSE
MN
01
5170
APRN LICENSE
MN
Enumeration date
05/11/2017
Last updated
10/23/2025
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