Individual
CASEY B HOVENDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LAKE DR E, CHANHASSEN, MN 55317-9302
(952) 993-4300
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP4169
MN
363LF0000X
Family Nurse Practitioner
Primary
CNP4169
MN
Other
Enumeration date
09/18/2015
Last updated
11/21/2024
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