Individual
REBECCA UREVIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1099 10TH AVE SE, MINNEAPOLIS, MN 55414-1312
(612) 767-6375
Mailing address
3013 ORCHARD AVE N, GOLDEN VALLEY, MN 55422-3006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R120602-3
MN
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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