Individual provider · Type 1 NPI
Mary T. Sallstrom, CPNP
Pediatric Nurse Practitioner · Minneapolis, MN
NPI number
1982031571
Active
Practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Mailing address
420 Delaware St SE, Mmc 366 (peds Bmt)
Minneapolis, MN 55455-0341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R193258-8 (MN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1982031571
Mary T. Sallstrom, CPNP's National Provider Identifier is 1982031571, issued on Sep 27, 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 Sep 27, 2013.