Individual
MRS. MONISHA KANNAN HUSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
14900 MAYWOOD DR, BURNSVILLE, MN 55306-6327
(612) 636-2178
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
—
MN
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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