Individual
ELIZABETH ANN VON DER MARWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
516 DELAWARE ST SE, FIRST FLOOR CLINIC 1E, MINNEAPOLIS, MN 55455-0356
(612) 624-5915
Mailing address
420 DELAWARE ST SE, MMC 450, MINNEAPOLIS, MN 55455-0341
(612) 624-5915
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R160323-1
MN
363LG0600X
Gerontology Nurse Practitioner
R160323-1
MN
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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