Individual
MRS. JENNIFER JOAN NORDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2211 PARK AVENUE, MINNEAPOLIS, MN 55404
(612) 871-1144
(612) 871-2012
Mailing address
2211 PARK AVENUE, MINNEAPOLIS, MN 55404
(612) 871-1144
(612) 871-2012
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8631
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8631
AUDIOLOGIST LICENSE
MN
Enumeration date
06/18/2010
Last updated
06/18/2010
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