Unknown Individual – Registered Nurse, NPI 1962607382
Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6224, Cavell Avenue North, Brooklyn Park, Hennepin County, Minnesota, 55428, United States
BROOKLYN PARK, MN 554282606
Phone: (763) 535-4634
Type: Mailing
4915, 42nd Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States
ROBBINSDALE, MN 554221730
Phone: (763) 533-1316
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 55428)
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