Individual provider · Type 1 NPI
Diane Soderholm Clavel, NP
Primary Care Nurse Practitioner · St. Paul, MN
NPI number
1982883369
Active
Practice location
2550 University Ave W, Suite 189S
St. Paul, MN 55114-5802
Fax (651) 332-7490
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | R098281-4 (MN) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1982883369
Diane Soderholm Clavel, NP's National Provider Identifier is 1982883369, issued on Nov 1, 2007. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in St. Paul, MN. The record was last updated on Nov 1, 2007.