Unknown Individual – Registered Nurse, NPI 1639317209
Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2200 NEVADA AV SO
ST. LOUIS PARK, MN 55426
Phone: (612) 827-2777
Type: Mailing
1148, Grand Avenue, Saint Paul, Ramsey County, Minnesota, 55105, United States
ST. PAUL, MN 55105
Phone: (651) 690-5352
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 55426)
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