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Individual

ALISHA LEIGH FREEBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1292655
MN
363LF0000X
Family Nurse Practitioner
Primary
6439
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1292655
MINNESOTA BOARD OF NURSING
MN
Enumeration date
01/23/2019
Last updated
03/11/2021
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