Female

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

Provider Address