Individual
JUDY LEE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
615 1ST AVE NE, SUITE 310, MINNEAPOLIS, MN 55413-2447
(612) 436-0295
(612) 436-0163
Mailing address
615 1ST AVE NE, SUITE 310, MINNEAPOLIS, MN 55413-2447
(612) 436-0295
(612) 436-0163
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 187128-3
MN
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0300363
MN
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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