SearchMinnesota390200000X

Angelina Ivanishin

NPI 1861735417 · on the registry since 2013

Practice

Address
23328 Arrowhead St Nw
Saint Francis, MN 55070
Phone
(763) 843-4482

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota