Individual
MARILYN RIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
9701 DATA PARK, MN006-W600, MINNETONKA, MN 55343-9026
(800) 896-8936
(888) 866-3209
Mailing address
3522 MAPLE DR S, CAMBRIDGE, MN 55008-4628
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R168671-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5074614-00
—
MN
Enumeration date
07/02/2006
Last updated
06/23/2009
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