Individual
DANIELLE MRKVICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 E 28TH ST STE H2100, MINNEAPOLIS, MN 55407-3799
(612) 863-3900
(612) 775-3199
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2371423
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
00000
MN
363LG0600X
Gerontology Nurse Practitioner
9649
MN
Other
Enumeration date
05/31/2020
Last updated
11/04/2022
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