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Individual

LAURA JEAN AUSMUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
3805 WASHINGTON AVE N, MINNEAPOLIS, MN 55412-2141
(612) 887-6282
Mailing address
25326 CROSS LAKE RD, HINCKLEY, MN 55037-5433
(320) 385-0986

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9988
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891031209
MSHO
MN
05
1891031209
MN
05
1902344591
MN
01
1902344591.
MEDICA
MN
05
1902344591.
MN
Enumeration date
03/03/2023
Last updated
03/03/2023
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