Individual
MS. MARIAH LYN HLAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9593
MN
363LF0000X
Family Nurse Practitioner
13288
WI
363LF0000X
Family Nurse Practitioner
Primary
9593
MN
Other
Enumeration date
09/28/2022
Last updated
12/21/2022
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