Individual
ANNA MARIE PRUSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 E 4TH ST, DULUTH, MN 55805-2147
(218) 728-4491
(218) 302-8698
Mailing address
1401 EAST 1ST STREET, DULUTH, MN 55805-2407
(218) 728-4491
(218) 302-8698
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11889
MN
Other
Enumeration date
08/07/2024
Last updated
10/10/2024
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