Individual
MARLYS R SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
3960 COON RAPIDS BLVD NW, 100, COON RAPIDS, MN 55433-2569
(763) 236-9400
(763) 236-9423
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RO61749-3
MN
Other
Enumeration date
03/25/2006
Last updated
04/07/2016
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