Individual
CARLY A COMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2955
(612) 873-2955
Mailing address
3870 GLACIER PL N, PLYMOUTH, MN 55446-3334
(763) 229-4444
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
R179799-8
MN
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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