Mary D Mackenburg Mohn in Roseville - Gerontology
Mary D Mackenburg Mohn - NPI 1073690012
Mary D Mackenburg Mohn is a Gerontology in Roseville, Minnesota. Mary D Mackenburg Mohn practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Mary D Mackenburg Mohn is 1073690012. The last update date is 2022-06-14.
Mary D Mackenburg Mohn's current location address is 2910 Centre Pointe Drive, Roseville, Minnesota. You can contact this provider via phone number 6518552327 and fax number 6518552310. The mailing address for Mary D Mackenburg Mohn is 2910 Centre Pointe Drive, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary D Mackenburg Mohn |
|---|---|
| Address | 2910 Centre Pointe Drive, Roseville, Minnesota |
| Phone Number | 6518552327 |
| Fax Number | 6518552310 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1073690012 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2022-06-14 |
Provider Mailing Address Detail
| Address | 2910 Centre Pointe Drive |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 55113 |
| Phone Number | 6518552327 |
| Fax Number | 6518552310 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 2472 |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 878708200 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary D Mackenburg Mohn by the Centers for Medicare & Medicaid Services?
The Mary D Mackenburg Mohn has been assigned the NPI (National Provider Identifier) 1073690012 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Mary D Mackenburg Mohn?
The Mary D Mackenburg Mohn is situated at 2910 Centre Pointe Drive, in the city of Roseville, state of MN, with the zip code 55113.
What is Mary D Mackenburg Mohn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary D Mackenburg Mohn is Gerontology, and the taxonomy code that categorizes this field of expertise is 363Lg0600X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073690012 to Mary D Mackenburg Mohn?
The Centers for Medicare & Medicaid Services originally issued the 1073690012 to Mary D Mackenburg Mohn on 2006-11-01.
As of what date was the information pertaining to Mary D Mackenburg Mohn, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary D Mackenburg Mohn, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-06-14.