Individual
DANIELLE BANDHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 W 66TH ST, SUITE 290, EDINA, MN 55435-2111
(952) 924-8117
Mailing address
15620 FALCON CIR N, HUGO, MN 55038-8204
(651) 707-4697
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP3693
MN
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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