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NPI Profile for THIA M CARLSON in CROSBY, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner |
| NPI # | 1588091862 |
|
| Status | Active | |
| Credentials | CNP (Certified Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 10/02/2013 | |
| Last updated | 12/04/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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THIA M CARLSON
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THIA M CARLSON, CNP