Individual
MARCIA WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2220 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1321
(612) 341-6815
Mailing address
153 INTERLACHEN RD, HOPKINS, MN 55343-8523
(763) 226-3620
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1238648
MN
Other
Enumeration date
05/31/2020
Last updated
05/31/2020
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