Individual provider · Type 1 NPI
Rebecca Lynne Carlson, CNP
Pediatric Nurse Practitioner · Minneapolis, MN
NPI number
1265773204
Active
Practice location
701 Park Ave
Minneapolis, MN 55415-1623
Mailing address
3601 17th Ave S
Minneapolis, MN 55407-2805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R1712999 (MN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1265773204
Rebecca Lynne Carlson, CNP's National Provider Identifier is 1265773204, issued on Mar 14, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 14, 2013.