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TOTIANNA RENEE PRUDHOMME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1560 BEAM AVE, MAPLEWOOD, MN 55109-1191
(651) 779-7978
(779) 765-6612
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R1716254
MN

Other

Enumeration date
07/29/2010
Last updated
10/19/2022
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