Individual
MRS. BONNIE LYNN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, ANP
Contact information
Practice address
327 CEDAR AVE S, MINNEAPOLIS, MN 55454-1030
(612) 294-1333
Mailing address
1536 OAKWOOD TER, SHOREVIEW, MN 55126-8538
(651) 785-0693
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R 0812337
MN
Other
Enumeration date
05/23/2007
Last updated
11/01/2011
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