Pandora Lee White in Minneapolis - Nurse Practitioner
Pandora Lee White - NPI 1528025624
Pandora Lee White is a Nurse Practitioner in Minneapolis, Minnesota. Pandora Lee White practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Pandora Lee White is 1528025624. The last update date is 2014-12-18.
Pandora Lee White's current location address is 2515 W Broadway Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6123542629 and fax number 6123542740. The mailing address for Pandora Lee White is 2515 W Broadway Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pandora Lee White |
|---|---|
| Address | 2515 W Broadway Ave, Minneapolis, Minnesota |
| Phone Number | 6123542629 |
| Fax Number | 6123542740 |
| Sole Proprietor | Y |
| Credentials | RN CNP |
NPI Number Detail
| NPI Number | 1528025624 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2014-12-18 |
Provider Mailing Address Detail
| Address | 2515 W Broadway Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554111736 |
| Phone Number | 6123542629 |
| Fax Number | 6123542740 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R1127607 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 765523100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pandora Lee White by the Centers for Medicare & Medicaid Services?
The Pandora Lee White has been issued the NPI (National Provider Identifier) 1528025624, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pandora Lee White?
The Pandora Lee White is situated at 2515 W Broadway Ave, in the city of Minneapolis, state of MN, with the zip code 554111736.
What is Pandora Lee White's area of expertise and its corresponding taxonomy classification?
The Pandora Lee White's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528025624 to Pandora Lee White?
The Centers for Medicare & Medicaid Services originally issued the 1528025624 to Pandora Lee White on 2006-05-01.
When was the information regarding Pandora Lee White, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pandora Lee White, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-12-18.
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