PEGGY BODELL
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1841923893- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10467 93RD AVE N, MAPLE GROVE, MN, 553694112
- Phone
- (651) 488-4655
Specialties & Taxonomies
Registered Nurse
Primary License: MN #1435289