Individual
BECCA MARIE MAHNESMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
401 HARDING ST NE STE 100, MINNEAPOLIS, MN 55413-2801
(612) 398-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7509
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2020
Last updated
03/14/2022
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