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Individual

DEBORAH MARIE LINDGREN-CLENDENEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MN, GNP-BC, APNP

Contact information

Practice address
800 E 28TH ST, H2100, MINNEAPOLIS, MN 55407-3723
(612) 863-3900
(612) 863-1681
Mailing address
2508 COLFAX AVE S, MINNEAPOLIS, MN 55405-2946

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
115271-030
WI
363LG0600X
Gerontology Nurse Practitioner
4024-033
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
R1088908
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2954796-00
MN
Enumeration date
01/12/2007
Last updated
03/11/2021
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