Individual
MRS. DIANE MENZIES ALDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14040 NORTHDALE BLVD, ROGERS, MN 55374-9612
(763) 488-4100
Mailing address
488 RHODE ISLAND AVE, FORT CAMPBELL, KY 42223-1214
(360) 704-0422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6262
MN
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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