Individual
PAMELA MICHELLE SAN MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP
Contact information
Practice address
659 BIELENBERG DR, WOODBURY, MN 55125-1706
(952) 737-4507
(651) 259-9770
Mailing address
659 BIELENBERG DR, WOODBURY, MN 55125-1706
(952) 737-4507
(651) 259-9770
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12157
MN
Other
Enumeration date
11/14/2024
Last updated
01/28/2025
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