Mary B. Carlson ANP, GNP
Gerontology Nurse Practitioner in Northfield, MN(View on Map)
Full Name
Mary Bess Carlson ANP, GNP
NPI Number
1144284274
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/14/2006
Specialties
(Taxonomies)Code
363LG0600X
363LA2200X
Primary Taxonomy
Yes
No
Licenses
State
Minnesota
Minnesota
License Number
1325
R098201-8
Contact
Information
Purpose
Mailing
Location
Address
7335 110TH ST E
7335 110TH ST E
City
Northfield
Northfield
State
MN
MN
Postal Code
55057-4832
55057-4832
Country
US
US
Telephone Number
(507) 581-0621
(507) 581-0621
Identifiers
Identifier
103242900
Identifier State
MN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/18/2024