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Rebecca Prosen
Critical Care Neonatal Nurse Practitioner in Maple Grove, Minnesota
NPI 1295971422

Rebecca Prosen is a Critical Care Neonatal Nurse Practitioner based in Otsego, MN and is specialized in Neonatal, Critical Care. Rebecca Prosen practices in Maple Grove, MN. The NPI Number for Rebecca Prosen is 1295971422 and holds a License No. 5873 (Minnesota).

The current practice location address for Rebecca Prosen is 9325 Upland Ln N Ste 360, Maple Grove, MN and can be reached out via phone at 612-322-6905.

Location: 9325 Upland Ln N Ste 360, Maple Grove, MN, 55330-3005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295971422
Provider Name
Rebecca Prosen
Credential
Provider Entity Type
Individual
Gender
Female
Address
9325 Upland Ln N Ste 360, Maple Grove, MN, 55330-3005
Phone Number
612-322-6905
Fax Number
Provider Enumeration Date
12/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9325 Upland Ln N Ste 360
City
Maple Grove
State
Minnesota
Zip
55369-4463
Phone Number
612-322-6905
Fax Number
person
Provider Business Mailing Address Details
Address
9325 Upland Ln N Ste 360
City
Maple Grove
State
Minnesota
Zip
55369-4463
Phone Number
612-322-6905
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
363LN0005X
License No.
5873 (Colorado)
Definition
Definition to come...
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