Karen Desjardins Mattson in Minnetonka - Family
Karen Desjardins Mattson - NPI 1528015062
Karen Desjardins Mattson is a Family in Minnetonka, Minnesota. Karen Desjardins Mattson practices all healthcare services and medical treatments related to Family. The NPI Number for Karen Desjardins Mattson is 1528015062. The last update date is 2021-12-01.
Karen Desjardins Mattson's current location address is 9900 Bren Rd E, Minnetonka, Minnesota. You can contact this provider via phone number 6037028222. The mailing address for Karen Desjardins Mattson is 9900 Bren Rd E, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karen Desjardins Mattson |
|---|---|
| Address | 9900 Bren Rd E, Minnetonka, Minnesota |
| Phone Number | 6037028222 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1528015062 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 9900 Bren Rd E |
|---|---|
| City | Minnetonka |
| State | Minnesota (MN) |
| Post Code | 553439664 |
| Phone Number | 6037028222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 047752-23-03 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30343508 | NH | -- |
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What is the Karen Desjardins Mattson's unique identification number?
The Karen Desjardins Mattson has been assigned the NPI (National Provider Identifier) Number 1528015062 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Karen Desjardins Mattson's physical address?
The Karen Desjardins Mattson is physically located at 9900 Bren Rd E, in the city of Minnetonka, MN, with the postal code 553439664.
What is the Karen Desjardins Mattson's specialty and taxonomy code?
The Karen Desjardins Mattson's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date was the 1528015062 assigned to Karen Desjardins Mattson?
The Karen Desjardins Mattson was issued its 1528015062 on 2006-05-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Karen Desjardins Mattson's information last updated?
The Karen Desjardins Mattson's information was last updated on 2021-12-01.
NPI Number: 1528061793
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