Unknown Individual – Adult Health Nurse Practitioner, NPI 1053699983
Adult Health Nurse Practitioner
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
7684 171ST ST W
LAKEVILLE, MN 550447414
Phone: (612) 203-1153
Type: Mailing
2428 E 117TH ST
BURNSVILLE, MN 553371269
Phone: (612) 444-3000
Fax: (612) 444-9000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| Physician Assistant | IN | |
| - | MN | |
| Nurse Practitioner | MN | |
| Pain Management, Physical Medicine And Rehabilitation | MN | |
| Physician Assistant | MN | |
| Addiction Medicine | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN |
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