Individual
DIANE SODERHOLM CLAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2550 UNIVERSITY AVE W, SUITE 189S, ST. PAUL, MN 55114-5802
(651) 332-7470
(651) 332-7490
Mailing address
2550 UNIVERSITY AVE W, SUITE 189S, ST. PAUL, MN 55114-5802
(651) 332-7470
(651) 332-7490
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R098281-4
MN
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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