Individual
VIOLA MARITIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 377-6285
Mailing address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 377-6285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9272
MN
363L00000X
Nurse Practitioner
SP020405
PA
363LA2100X
Acute Care Nurse Practitioner
20148001523
MI
Other
Enumeration date
06/03/2019
Last updated
07/07/2022
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