| NPI | 1356634224 |
|---|---|
| Former Name | ANNA VENN CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2960) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 172338-6) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R 172338-6) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 4385-33) | |
| 163W00000X Registered Nurse (Licence: WI 176645-30) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2022-11-01 |