Team Medical PA
Nurse Practitioner in Minneapolis, MN. Organization (NPI-2).
NPI number1972932499
StatusActive
Last updated in NPPESNov 27, 2013
Details
- NPI
- 1972932499
- Entity type
- Organization (NPI-2)
- Legal business name
- Team Medical PA
- Organization subpart
- No
- Enumeration date
- Nov 5, 2013
- Last updated
- Nov 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0212447 | MN | Yes |
Practice location
3455 4th Ave SMinneapolis, MN 55408-4527
Phone 612-486-2223 · Fax 612-437-4737
Mailing address
3455 4th Ave SMinneapolis, MN 55408-4527
Phone 612-486-2223 · Fax 612-437-4737
Authorized official
Anna L Jauregui
Office Manager
6124862223
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