Individual
MRS. CAROLYN DIANNE FICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 629-7459
(612) 725-2292
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 629-7459
(612) 725-2292
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R 1348509
MN
Other
Enumeration date
05/26/2006
Last updated
04/16/2012
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