Individual provider · Type 1 NPI
Mary Louise Dysart, CNP
Adult Health Nurse Practitioner · Minneapolis, MN
NPI number
1477645299
Active
Practice location
1 Veterans Dr
Minneapolis, MN 55417-2309
Mailing address
8756 140th Street Blvd
Apple Valley, MN 55124-9420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R078900-4 (MN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1477645299
Mary Louise Dysart, CNP's National Provider Identifier is 1477645299, issued on Sep 29, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.