Individual provider · Type 1 NPI

Catherine Conzemius Van de Velde

Family Nurse Practitioner · St. Paul, MN

NPI number 1487099016 Active

Practice location

205 Wabasha St S
St. Paul, MN 55107-1805

Fax (651) 293-8106

Mailing address

8170 33rd Ave S, Ms 21110Q
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR161057-0 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1487099016

Catherine Conzemius Van de Velde's National Provider Identifier is 1487099016, issued on May 9, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Paul, MN. The record was last updated on Dec 18, 2014.