Individual
MS. ELIZABETH SEVERANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2401 FAIRVIEW AVE N # 145, SAINT PAUL, MN 55113-2708
(763) 225-9050
Mailing address
3849 UPTON AVE N, MINNEAPOLIS, MN 55412-1810
(651) 605-5061
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22871
SC
363LF0000X
Family Nurse Practitioner
Primary
2412
MN
Other
Enumeration date
06/12/2014
Last updated
01/10/2024
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