Individual
MS. DEADRA MARIE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RN,CNS
Contact information
Practice address
1 VETERANS DR, (116A)-MHC, MINNEAPOLIS, MN 55417-2309
(612) 467-5850
(612) 725-2292
Mailing address
405 LEXINGTON PKWY S, SAINT PAUL, MN 55105-2926
(651) 699-5578
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R120493-1
MN
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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