Individual
ANGELA MOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1451 ADAMS ST S, SHAKOPEE, MN 55379-2697
(952) 428-4200
Mailing address
14460 CASTLEGATE WAY NW, PRIOR LAKE, MN 55372-4001
(952) 457-0407
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6980
MN
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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