Coralie Ann Pederson in St Paul - Nurse Practitioner
Coralie Ann Pederson - NPI 1841283074
Coralie Ann Pederson is a Nurse Practitioner in St Paul, Minnesota. Coralie Ann Pederson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Coralie Ann Pederson is 1841283074. The last update date is 2022-07-21.
Coralie Ann Pederson's current location address is 1619 Dayton Ave, St Paul, Minnesota. You can contact this provider via phone number 6516450478 and fax number 6516422523. The mailing address for Coralie Ann Pederson is 1619 Dayton Ave, St Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Coralie Ann Pederson |
|---|---|
| Address | 1619 Dayton Ave, St Paul, Minnesota |
| Phone Number | 6516450478 |
| Fax Number | 6516422523 |
| Sole Proprietor | N |
| Credentials | WHNP |
NPI Number Detail
| NPI Number | 1841283074 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1619 Dayton Ave |
|---|---|
| City | St Paul |
| State | Minnesota (MN) |
| Post Code | 55104 |
| Phone Number | 6516450478 |
| Fax Number | 6516422523 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R131630-8 |
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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 |
|---|---|---|---|
| 463972300 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Coralie Ann Pederson by the Centers for Medicare & Medicaid Services?
The Coralie Ann Pederson has been issued the NPI (National Provider Identifier) 1841283074, 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 Coralie Ann Pederson is physically located?
The Coralie Ann Pederson is physically situated at the following address: 1619 Dayton Ave, St Paul, MN, 55104.
What is Coralie Ann Pederson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Coralie Ann Pederson is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Coralie Ann Pederson receive the assignment of its 1841283074 from the Centers for Medicare & Medicaid Services?
The Coralie Ann Pederson was issued its 1841283074 by the Centers for Medicare & Medicaid Services on 2005-08-23.
As of what date were the Coralie Ann Pederson's details last updated?
The information pertaining to the Coralie Ann Pederson, including its address, specialty, and other details, was most recently updated on 2022-07-21.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH