Individual
LAUREN BACHNICK WITEBSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10150 NIAGARA LN N STE 100, MAPLE GROVE, MN 55369-7588
(763) 712-2100
Mailing address
2250 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-1801
(651) 602-5312
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP 4167
MN
Other
Enumeration date
09/23/2015
Last updated
05/30/2023
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