Individual
MRS. ELIZABETH ROSE WORMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
913 E 26TH ST, MINNEAPOLIS, MN 55404-4515
(612) 863-0200
Mailing address
22080 144TH CIR, ROGERS, MN 55374-9111
(320) 250-5038
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11483
MN
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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