Mary Wightman in Roseville - Neonatal/pediatrics

Mary Wightman - NPI 1336282235

Mary Wightman is a Neonatal/pediatrics in Roseville, Minnesota. Mary Wightman practices all healthcare services and medical treatments related to Neonatal/pediatrics. The NPI Number for Mary Wightman is 1336282235. The last update date is 2007-07-08.

Mary Wightman's current location address is 2800 Cleveland Ave N, Roseville, Minnesota. You can contact this provider via phone number 6516421825. The mailing address for Mary Wightman is 2800 Cleveland Ave N, Roseville, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Wightman
Address 2800 Cleveland Ave N, Roseville, Minnesota
Phone Number 6516421825
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1336282235
Provider Enumeration Date 2007-02-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2800 Cleveland Ave N
City Roseville
State Minnesota (MN)
Post Code 551131126
Phone Number 6516421825
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neonatal/pediatrics
Taxonomy 2279P3900X
Licence No 3054
Definition:
The care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments.

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FAQs about Mary Wightman

What is the Mary Wightman's 1336282235?

The Mary Wightman's NPI (National Provider Identifier) Number is 1336282235. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mary Wightman?

The Mary Wightman is physically situated at 2800 Cleveland Ave N, in the city of Roseville, state of MN, with the postal code 551131126.

What is Mary Wightman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mary Wightman's specialized field of practice is Neonatal/pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 2279P3900X.

On what date did Mary Wightman receive its 1336282235 assignment from the Centers for Medicare & Medicaid Services?

The Mary Wightman was assigned its 1336282235 on 2007-02-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Mary Wightman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mary Wightman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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