Individual
LUDMILLA R PELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3123
Mailing address
8170 33RD AVE S, MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1112638
MN
363L00000X
Nurse Practitioner
Primary
CNP 2616
MN
Other
Enumeration date
03/27/2007
Last updated
03/10/2021
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