Vassallo, Elizabeth Anne
Vassallo, Elizabeth Anne is an individual health care provider with primary practice located at 4461 White Bear Pkwy Ste 2 , White Bear Lake MN 55110-7626. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vassallo, Elizabeth Anne can be contacted via phone (651) 348-8851.Contact Information
Primary practice address
4461 White Bear Pkwy Ste 2
White Bear Lake MN 55110-7626
Phone: (651) 348-8851
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 8208 | Minnesota |
Profile Details
NPI number | 1073189759 |
---|---|
LBN Legal business name | Vassallo, Elizabeth Anne |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2021 |
Last updated | Jun 2nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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