Individual
BETH MICHELLE AL QUDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNP, PMHNP-BC
Contact information
Practice address
3450 OLEARY LN, EAGAN, MN 55123-2340
(651) 454-3492
Mailing address
3450 OLEARY LN, EAGAN, MN 55123-2340
(651) 454-0114
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11868
MN
Other
Enumeration date
06/06/2021
Last updated
04/05/2025
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