IndividualActive
Alexandra Mareck, CNP
NPI 1053077602 · Family Nurse Practitioner · St Louis Park, MN
Provider details
- NPI number
- 1053077602
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8559 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4656 Excelsior Blvd
St Louis Park, MN 55416-4938
Phone: (952) 929-0140
Approximate (ZIP-level) locationGet directions
Mailing address
4656 Excelsior Blvd
St Louis Park, MN 55416-4938
Registry dates
- Enumerated
- 2021-11-09
- Last updated
- 2022-02-24
- Certified
- 2022-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.