Provider Demographics
NPI:1033197603
Name:STRONG, ANN MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE
Last Name:STRONG
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PARK NICOLLET CLINIC-SMARTCARE
Mailing Address - Street 2:3800 PARK NICOLLET BLVD SUITE 150
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416
Mailing Address - Country:US
Mailing Address - Phone:952-993-1190
Mailing Address - Fax:952-993-0960
Practice Address - Street 1:PARK NICOLLET CLINIC-SMARTCARE
Practice Address - Street 2:3800 PARK NICOLLET BLVD SUITE 150
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416
Practice Address - Country:US
Practice Address - Phone:952-993-1190
Practice Address - Fax:952-993-0960
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2024-01-29
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Provider Licenses
StateLicense IDTaxonomies
MN844363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical