Mrs. Raquel A. De La Mater NP
Adult Health Nurse Practitioner in Minneapolis, MN(View on Map)
Full Name
Mrs. Raquel Alejandra De La Mater NP
NPI Number
1760747471
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/09/2012
Specialties
(Taxonomies)Name
Code
363LA2200X
363LG0600X
390200000X
Primary Taxonomy
Yes
No
No
Licenses
State
Minnesota
License Number
R1942536
Contact
Information
Purpose
Mailing
Location
Address
420 DELAWARE ST SE
420 DELAWARE ST SE
City
Minneapolis
Minneapolis
State
MN
MN
Postal Code
55455-0341
55455-0341
Country
US
US
Telephone Number
(651) 269-3246
(612) 624-5915
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/09/2012