Individual
VALERIE L CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
901 3RD ST N, WAITE PARK, MN 56387-1964
(320) 217-8480
(320) 217-8490
Mailing address
901 3RD ST N, WAITE PARK, MN 56387-1964
(320) 217-8480
(320) 217-8490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R1038110
MN
363LF0000X
Family Nurse Practitioner
Primary
3336
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
994620900
—
MN
Enumeration date
06/12/2006
Last updated
01/29/2020
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