Organization
YELLOW CORIANDER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA FASHANT-PETERSON APN (CEO)
(888) 592-6117
Entity
Organization
Contact information
Practice address
721 QUINCY ST NE, MINNEAPOLIS, MN 55413-2317
(888) 592-6117
Mailing address
721 QUINCY ST NE, MINNEAPOLIS, MN 55413-2317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0390
MN
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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