Individual
LISA NORDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
347 SMITH AVE N, SAINT PAUL, MN 55102-2387
(651) 220-6750
Mailing address
347 SMITH AVE N, SAINT PAUL, MN 55102-2387
(651) 220-6750
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20121865
MN
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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