Maisa Alves Pebbles in Coon Rapids - Nurse Practitioner
Maisa Alves Pebbles - NPI 1336117480
Maisa Alves Pebbles is a Nurse Practitioner in Coon Rapids, Minnesota. Maisa Alves Pebbles practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Maisa Alves Pebbles is 1336117480. The last update date is 2007-07-08.
Maisa Alves Pebbles's current location address is 1440 109th Ave Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7637541231 and fax number 7637541231. The mailing address for Maisa Alves Pebbles is 1440 109th Ave Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maisa Alves Pebbles |
|---|---|
| Address | 1440 109th Ave Nw, Coon Rapids, Minnesota |
| Phone Number | 7637541231 |
| Fax Number | 7637541231 |
| Sole Proprietor | Y |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1336117480 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1440 109th Ave Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554334211 |
| Phone Number | 7637541231 |
| Fax Number | 7637541231 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R1333572 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Post Comment/ Review Below
What is the unique identifier code issued to Maisa Alves Pebbles by the Centers for Medicare & Medicaid Services (CMS)?
The Maisa Alves Pebbles has been assigned the NPI (National Provider Identifier) 1336117480. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Maisa Alves Pebbles's physical address?
The Maisa Alves Pebbles is physically located at 1440 109Th Ave Nw, in the city of Coon Rapids, MN, with the postal code 554334211.
What is the area of specialization for Maisa Alves Pebbles, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Maisa Alves Pebbles is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did Maisa Alves Pebbles receive its 1336117480 assignment from the Centers for Medicare & Medicaid Services?
The Maisa Alves Pebbles was assigned its 1336117480 on 2006-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Maisa Alves Pebbles last refreshed?
The information related to the Maisa Alves Pebbles, including its address, specialty, and other relevant details, was last updated on 2007-07-08.