Individual
ANNE MARIE MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6405 FRANCE AVE S STE W200, EDINA, MN 55435-2186
(952) 365-5000
Mailing address
4412 W 58TH ST, EDINA, MN 55424-1621
(612) 940-6174
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11300
MN
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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