Alissa S Ventura is a Surgical in Maple Grove, Minnesota. Alissa S Ventura practices all healthcare services and medical treatments related to Surgical. The NPI Number for Alissa S Ventura is 1740255835. The last update date is 2019-12-04.
Alissa S Ventura's current location address is 9825 Hospital Dr, Maple Grove, Minnesota. You can contact this provider via phone number 7637806699 and fax number 7634200500. The mailing address for Alissa S Ventura is 9825 Hospital Dr, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alissa S Ventura |
|---|---|
| Address | 9825 Hospital Dr, Maple Grove, Minnesota |
| Phone Number | 7637806699 |
| Fax Number | 7634200500 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1740255835 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2019-12-04 |
Provider Mailing Address Detail
| Address | 9825 Hospital Dr |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553694479 |
| Phone Number | 7637806699 |
| Fax Number | 7634200500 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 9911 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 78475300 | MN | -- |
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What is the unique 10-digit identifier code issued to Alissa S Ventura by the Centers for Medicare & Medicaid Services?
The Alissa S Ventura has been assigned the NPI (National Provider Identifier) 1740255835 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Alissa S Ventura located?
The Alissa S Ventura is located at 9825 Hospital Dr, Maple Grove, MN 553694479.
What is the Alissa S Ventura's area of specialization and corresponding taxonomy classification?
The Alissa S Ventura's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.
On what date was the 1740255835 assigned to Alissa S Ventura?
The Alissa S Ventura was issued its 1740255835 on 2006-02-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Alissa S Ventura, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Alissa S Ventura, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-12-04.