Individual
JENNI SASHA MEZERITSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
4201 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4728
(952) 933-8900
Mailing address
4201 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2467802
MN
163WC1500X
Community Health Registered Nurse
29083
MN
363L00000X
Nurse Practitioner
Primary
9675
MN
Other
Enumeration date
09/26/2022
Last updated
11/01/2022
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