Individual
PATRICIA A OPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8101 34TH AVENUE SOUTH, MS 26602G, MINNEAPOLIS, MN 55425-4516
(952) 883-6805
(952) 883-6117
Mailing address
1055 WESTGATE DR STE 1000, SAINT PAUL, MN 55114-1065
(612) 262-7800
(612) 262-7022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0847
MN
363L00000X
Nurse Practitioner
R1372740
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307148100
—
MN
Enumeration date
02/17/2006
Last updated
11/10/2020
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