Individual
ELIZABETH JOSIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12483 GOODHUE CT NE, BLAINE, MN 55449-5345
(612) 257-0879
Mailing address
12483 GOODHUE CT NE, BLAINE, MN 55449-5345
(612) 257-0879
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2500080
MN
163WC1500X
Community Health Registered Nurse
35028
MN
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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