Individual
TRICIA JEAN SHOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
410 30TH AVE E, ALEXANDRIA, MN 56308-4769
(320) 259-1670
Mailing address
410 30TH AVE E, ALEXANDRIA, MN 56308-4769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0614082
MN
Other
Enumeration date
06/14/2014
Last updated
01/16/2025
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