Individual
MR. PATRICK WAIDE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
1410 S FERRY RD, ANOKA, MN 55303-2164
(763) 427-7155
Mailing address
1410 S FERRY RD, ANOKA, MN 55303-2164
(763) 427-7155
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
6293
MN
363LA2200X
Adult Health Nurse Practitioner
7002
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6293
MN
Other
Enumeration date
06/22/2016
Last updated
06/10/2024
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