Individual
INGRID CRESENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
Mailing address
8484 KNOLLWOOD DR, SAINT PAUL, MN 55112-6136
(612) 810-5748
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
6408
MN
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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