Individual
REBECCA ANN DONDLINGER PELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP- BC
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
1696 JULIET AVE, SAINT PAUL, MN 55105-2119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11476
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11476
MN
Other
Enumeration date
04/04/2024
Last updated
11/08/2024
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