Individual
MRS. LYDIA MARIE GREIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2001 BLAISDELL AVE S, PARK NICOLLET CLINIC, MINNEAPOLIS, MN 55404
(952) 993-8000
(952) 993-8039
Mailing address
2001 BLAISDELL AVE S, PARK NICOLLET CLINIC, MINNEAPOLIS, MN 55404
(952) 993-8000
(952) 993-8039
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R179494-8
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
R179498-8
MN
363LG0600X
Gerontology Nurse Practitioner
G0611003
MN
Other
Enumeration date
06/28/2011
Last updated
03/27/2023
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