Gina Lynn Edison in Waconia - Nurse Practitioner
Gina Lynn Edison - NPI 1588763007
Gina Lynn Edison is a Nurse Practitioner in Waconia, Minnesota. Gina Lynn Edison practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Gina Lynn Edison is 1588763007. The last update date is 2017-10-24.
Gina Lynn Edison's current location address is 560 South Maple St, Waconia, Minnesota. You can contact this provider via phone number 9528564003. The mailing address for Gina Lynn Edison is 560 South Maple St, Waconia, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gina Lynn Edison |
|---|---|
| Address | 560 South Maple St, Waconia, Minnesota |
| Phone Number | 9528564003 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1588763007 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2017-10-24 |
Provider Mailing Address Detail
| Address | 560 South Maple St |
|---|---|
| City | Waconia |
| State | Minnesota (MN) |
| Post Code | 55387 |
| Phone Number | 9528564003 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 128639 |
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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 |
|---|---|---|---|
| 41177800 | WI | -- |
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What is the unique identification code assigned to Gina Lynn Edison by the Centers for Medicare & Medicaid Services?
The Gina Lynn Edison has been issued the NPI (National Provider Identifier) 1588763007. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gina Lynn Edison located?
The Gina Lynn Edison is located at 560 South Maple St, Waconia, MN 55387.
What is Gina Lynn Edison's area of expertise and its corresponding taxonomy classification?
The Gina Lynn Edison'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 Gina Lynn Edison receive the assignment of its 1588763007 from the Centers for Medicare & Medicaid Services?
The Gina Lynn Edison was issued its 1588763007 by the Centers for Medicare & Medicaid Services on 2006-09-21.
As of what date were the Gina Lynn Edison's details last updated?
The information pertaining to the Gina Lynn Edison, including its address, specialty, and other details, was most recently updated on 2017-10-24.
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