Victoria A Eddy in Saint Paul - Nurse Practitioner

Victoria A Eddy - NPI 1265404420

Victoria A Eddy is a Nurse Practitioner in Saint Paul, Minnesota. Victoria A Eddy practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Victoria A Eddy is 1265404420. The last update date is 2011-07-19.

Victoria A Eddy's current location address is 401 Phalen Blvd, Saint Paul, Minnesota. You can contact this provider via phone number 6512547600 and fax number 6512547623. The mailing address for Victoria A Eddy is 401 Phalen Blvd, Saint Paul, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Victoria A Eddy
Address 401 Phalen Blvd, Saint Paul, Minnesota
Phone Number 6512547600
Fax Number 6512547623
Sole Proprietor N
Credentials ANP

NPI Number Detail

NPI Number 1265404420
Provider Enumeration Date 2006-02-02
Last Updated Date 2011-07-19

Provider Mailing Address Detail

Address 401 Phalen Blvd
City Saint Paul
State Minnesota (MN)
Post Code 551305302
Phone Number 6512547600
Fax Number 6512547623

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 711098
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
636719400 MN --

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FAQs about Victoria A Eddy

What is the unique 10-digit identification code assigned to Victoria A Eddy by the Centers for Medicare & Medicaid Services?

The Victoria A Eddy has been issued the NPI (National Provider Identifier) 1265404420, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Victoria A Eddy is physically located?

The Victoria A Eddy is physically situated at the following address: 401 Phalen Blvd, Saint Paul, MN, 551305302.

What is Victoria A Eddy's specialized field of practice, and what is the corresponding taxonomy classification code?

The Victoria A Eddy's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.

On what date did Victoria A Eddy receive its 1265404420 assignment from the Centers for Medicare & Medicaid Services?

The Victoria A Eddy was assigned its 1265404420 on 2006-02-02, 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 Victoria A Eddy's details last updated?

The information pertaining to the Victoria A Eddy, including its address, specialty, and other details, was most recently updated on 2011-07-19.

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