Individual
MARIT LEIGH THRONTVEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-3000
Mailing address
45 10TH ST W, SAINT PAUL, MN 55102-1062
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6996
MN
Other
Enumeration date
11/12/2019
Last updated
01/28/2020
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