Individual
VICTORIA J UPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, RN
Contact information
Practice address
540 E 1ST ST, WACONIA, MN 55387-1600
(952) 442-4437
(952) 442-3084
Mailing address
135 COLORADO STREET EAST, ST. PAUL, MN 55107
(651) 489-7740
(651) 489-6458
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7115
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2258322
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2258322
MA LICENSE#
MA
Enumeration date
09/01/2011
Last updated
10/19/2020
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