Lisa N Von Wald, AGPCNP-BC
NPI #1093147142 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1093147142
- Entity Type
- Individual
- Name
- Lisa N Von Wald, AGPCNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- AGPCNP-BC
- Enumeration Date
- Jul 31, 2013
- Last Updated
- Aug 8, 2013
Practice Location
- Address
- 500 HARVARD ST SE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55455-0363
- Phone
- (612) 273-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner |
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