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Carmen Renee Grande Henke, CNNP
Critical Care Neonatal Nurse Practitioner in St Paul, Minnesota
NPI 1205892833

Carmen Renee Grande Henke is a Critical Care Neonatal Nurse Practitioner based in Roseville, MN and is specialized in Neonatal, Critical Care. Carmen Renee Grande Henke practices in St Paul, MN and has the professional credentials of CNNP. The NPI Number for Carmen Renee Grande Henke is 1205892833 and holds a License No. R1475155 (Minnesota).

The current practice location address for Carmen Renee Grande Henke is 347 North Smith Avenue, St Paul, MN and can be reached out via phone at 651-220-6210 and via fax at 651-220-7777.

Location: 347 North Smith Avenue, St Paul, MN, 55113
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Provider Profile Details
NPI Number
1205892833
Provider Name
Carmen Renee Grande Henke
Credential
CNNP
Provider Entity Type
Individual
Gender
Female
Address
347 North Smith Avenue, St Paul, MN, 55113
Phone Number
651-220-6210
Fax Number
651-220-7777
Provider Enumeration Date
04/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
318656300 05 MN
institution
Provider Business Practice Location Address Details
Address
347 North Smith Avenue
City
State
Zip
55102
Phone Number
651-220-6210
Fax Number
651-220-7777
person
Provider Business Mailing Address Details
Address
347 North Smith Avenue
City
State
Zip
55102
Phone Number
651-220-6210
Fax Number
651-220-7777
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
R1475155 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
R1475155 (Minnesota)
Definition
Definition to come...
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