Individual
MS. MARY CORINNE BESHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2000
Mailing address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R 134576-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
782105100
—
MN
Enumeration date
02/21/2006
Last updated
05/15/2008
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