Individual
MARENA MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2635 UNIVERSITY AVE W STE 160, SAINT PAUL, MN 55114-1271
(651) 254-3500
Mailing address
400 MARQUETTE AVE APT 2609, MINNEAPOLIS, MN 55401-2889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1622558
CO
163W00000X
Registered Nurse
Primary
2468982
MN
163W00000X
Registered Nurse
247271
WI
163W00000X
Registered Nurse
95073076
CA
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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