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Individual

ANDREA MAGGIE STANKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC

Contact information

Practice address
3555 WILLOW LAKE BLVD STE 290, VADNAIS HEIGHTS, MN 55110-4465
(952) 431-5330
(952) 431-5334
Mailing address
3642 ROOSEVELT ST NE, SAINT ANTHONY, MN 55418-1559
(218) 591-7843

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
2458990
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11771
MN

Other

Enumeration date
04/01/2024
Last updated
02/28/2025
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