Mary Nick is a Physician Assistant in Minneapolis, Minnesota. Mary Nick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary Nick is 1821172057. The last update date is 2012-05-08.
Mary Nick's current location address is 420 Delaware St Se, Minneapolis, Minnesota. You can contact this provider via phone number 6126252654. The mailing address for Mary Nick is 420 Delaware St Se, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Nick |
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Address | 420 Delaware St Se, Minneapolis, Minnesota |
Phone Number | 6126252654 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1821172057 |
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Provider Enumeration Date | 2006-10-24 |
Last Updated Date | 2012-05-08 |
Provider Mailing Address Detail
Address | 420 Delaware St Se |
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City | Minneapolis |
State | Minnesota (MN) |
Post Code | 55455 |
Phone Number | 6126252654 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 9941 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
13265 | MN | UCARE | |
HP49622 | MN | HEALTHPARTNERS | |
01-06279 | MN | MEDICA-PRIMARY | |
1043048 | MN | PREFERRED ONE | |
856458100 | MN | -- | |
01-19052 | MN | MEDICA-CHOICE | |
2319537 | MN | ARAZ | |
4304742 | MT | -- | |
41999800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Nick by the Centers for Medicare & Medicaid Services?
The Mary Nick has been issued the NPI (National Provider Identifier) 1821172057 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mary Nick?
The Mary Nick is situated at 420 Delaware St Se, in the city of Minneapolis, state of MN, with the zip code 55455.
What is Mary Nick's area of expertise and its corresponding taxonomy classification?
The Mary Nick's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the Mary Nick's 1821172057 issued?
The Mary Nick's 1821172057 was issued on 2006-10-24.
As of what date was the information regarding Mary Nick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Nick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-05-08.