Shelley A Bratholdt in Minneapolis - Nurse Practitioner
Shelley A Bratholdt - NPI 1699749630
Shelley A Bratholdt is a Nurse Practitioner in Minneapolis, Minnesota. Shelley A Bratholdt practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Shelley A Bratholdt is 1699749630. The last update date is 2012-04-02.
Shelley A Bratholdt's current location address is 8170 33rd Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 9528835375 and fax number 6512938106. The mailing address for Shelley A Bratholdt is 8170 33rd Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley A Bratholdt |
|---|---|
| Address | 8170 33rd Ave S, Minneapolis, Minnesota |
| Phone Number | 9528835375 |
| Fax Number | 6512938106 |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1699749630 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2012-04-02 |
Provider Mailing Address Detail
| Address | 8170 33rd Ave S |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554254516 |
| Phone Number | 9528835375 |
| Fax Number | 6512938106 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 65387 |
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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 |
|---|---|---|---|
| 963219100 | MN | -- |
Post Comment/ Review Below
What is the Shelley A Bratholdt's 1699749630?
The Shelley A Bratholdt's NPI (National Provider Identifier) Number is 1699749630. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shelley A Bratholdt's facilities are geographically located?
The facilities of Shelley A Bratholdt are physically situated at the following location: 8170 33Rd Ave S, Minneapolis, MN, 554254516.
What is the area of specialization for Shelley A Bratholdt, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shelley A Bratholdt is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699749630 to Shelley A Bratholdt?
The Centers for Medicare & Medicaid Services originally issued the 1699749630 to Shelley A Bratholdt on 2006-02-15.
As of what date was the information pertaining to Shelley A Bratholdt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shelley A Bratholdt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-02.