Individual
MS. REGINE W NDIFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, FNP
Contact information
Practice address
1415 LILAC DR N STE 190, MINNEAPOLIS, MN 55422-4544
(763) 267-8701
(763) 231-9602
Mailing address
1415 LILAC DR N STE 190, MINNEAPOLIS, MN 55422-4544
(763) 267-8701
(763) 231-9602
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209405-6
MN
Other
Enumeration date
09/20/2012
Last updated
03/21/2018
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