Julie Ann Such NP

NPI 1083923494 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1083923494
Gender Female
Enumeration Date 10/03/2010
Last Updated 03/04/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
3931 LOUISIANA AVE S
STE E400
SAINT LOUIS PARK MN, 55426-5000, US
Phone (952) 993-3230
Fax (952) 993-1748
Business Location
8170 33RD AVE S
PO BOX 1309 MAIL STOP 21110Q
MINNEAPOLIS MN, 55425-4516, US
Phone (952) 993-3230
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Minnesota
License Number R164182-4
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According to our database, Mrs. Julie Ann Such NP NPI is 1083923494, taxonomy code is 363LA2100X and license number is R164182-4, license state is located at Minnesota. Julie Ann Such NP physically located at 3931 Louisiana Ave S, Saint Louis Park MN, 55426-5000. NPI Number Julie Ann Such NP has the Individual type.

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1083923494 NPI number is provided on an as is basis without warranty of any kind. 1083923494 is maintained by the National Plan & Provider Enumeration System. The contents of Julie Ann Such NP are for informational purposes only.