Individual
IVY ARWEN EMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
3021 HARBOR LN N, PLYMOUTH, MN 55447-5109
(612) 501-6963
Mailing address
3021 HARBOR LN N, PLYMOUTH, MN 55447-5109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2019578
MN
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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