Individual
MRS. VASUMATHI NALLUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
8225 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344-5315
(952) 944-0700
Mailing address
1858 SPRING CREEK DR, CARVER, MN 55315-4573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 200255-6
MN
Other
Enumeration date
11/25/2013
Last updated
05/04/2016
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