Individual
CORALIE ANN PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 625-8400
(612) 677-3211
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 625-8400
(612) 677-3211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0011
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463972300
—
MN
Enumeration date
08/23/2005
Last updated
12/30/2025
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