Individual
MARY K. ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
9855 HOSPITAL DR STE 275, MAPLE GROVE, MN 55369-4778
(952) 993-3282
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 993-3282
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 109659-2
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP 2312
MN
Other
Enumeration date
12/22/2005
Last updated
03/01/2016
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