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Individual

CASSANDRA PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
6405 FRANCE AVE S STE 200, EDINA, MN 55435-2164
(612) 626-7681
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1864517
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
5945
MN

Other

Enumeration date
08/03/2018
Last updated
08/14/2024
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