Individual provider · Type 1 NPI

Rebecca Prosen

Critical Care Neonatal Nurse Practitioner · Maple Grove, MN

NPI number 1295971422 Active

Practice location

9325 Upland Ln N Ste 360
Maple Grove, MN 55369-4463

Mailing address

15560 76th Ct NE
Otsego, MN 55330-3005

Specialties and licenses

TaxonomyCodeLicense
Critical Care Neonatal Nurse Practitioner 363LN0005X5873 (CO)
Critical Care Neonatal Nurse Practitioner Primary 363LN0005X9971 (MN)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1295971422

Rebecca Prosen's National Provider Identifier is 1295971422, issued on Dec 17, 2008. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Maple Grove, MN. The record was last updated on Jan 23, 2024.