Individual
MS. LAURIE BONITA AGRIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
45 W. 10TH STREET, ST PAUL, MN 55102
(651) 232-3132
(651) 232-3512
Mailing address
1077 ROBERT STREET SOUTH, WEST ST PAUL, MN 55118-1245
(651) 455-6302
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2010008730
MN
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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