Individual
MARY PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP - C
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-4303
(612) 904-4303
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-4303
(612) 904-4303
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP 3923
MN
Other
Enumeration date
06/26/2015
Last updated
10/23/2018
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