Female

Mary L. Dysart CNP

Adult Health Nurse Practitioner in Minneapolis, MN(View on Map)

Full Name

Mary Louise Dysart CNP

NPI Number

1477645299

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/29/2006

Specialties

(Taxonomies)

Code

363LA2200X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

R078900-4

Contact
Information

Purpose

Mailing
Location

Address

8756 140TH STREET BLVD
1 VETERANS DR

City

Apple Valley
Minneapolis

State

MN
MN

Postal Code

55124-9420
55417-2309

Country

US
US

Telephone Number

(612) 467-1285
(612) 467-1285

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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