Individual
PATRICIA ELIDA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 347 NORTH SMITH AVENUE, SUITE 603, SAINT PAUL, MN 55102
(651) 220-6760
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 391, MINNEAPOLIS, MN 55455
(612) 624-3113
(612) 626-6601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R 065532-9
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
R 065532-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0717850
—
IA
01
—
1021569
PREFERRED ONE
MN
01
—
12-03224
MEDICA CHOICE
MN
01
—
12-09026
MEDICA PRIMARY
MN
01
—
143409
UCARE
MN
01
—
2366356
ARAZ
MN
05
—
4305556
—
MT
01
—
43921200
WI MA
WI
01
—
623T2CA
BCBS
MN
01
—
B584
CHAMPUS
MN
01
—
HP17676
HEALTHPARTNERS
MN
Enumeration date
06/26/2006
Last updated
09/11/2025
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