Individual
CAROL JO EGGERSGLUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
13475 COUNTY ROAD 2, GLENCOE, MN 55336-7703
(952) 240-4048
Mailing address
13475 COUNTY ROAD 2, GLENCOE, MN 55336-7703
(952) 240-4048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 4570
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CNP 4570
—
MN
Enumeration date
06/23/2016
Last updated
06/23/2016
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