Individual
REIDUN WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
215 RADIO DR STE 200, WOODBURY, MN 55125-5816
(651) 686-6400
Mailing address
215 RADIO DR STE 200, WOODBURY, MN 55125-5816
(651) 686-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10791
MN
363LW0102X
Women's Health Nurse Practitioner
10791
MN
Other
Enumeration date
12/27/2023
Last updated
01/09/2024
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