Patricia Macgillivray in Minneapolis - Pediatrics
Patricia Macgillivray - NPI 1417949512
Patricia Macgillivray is a Pediatrics in Minneapolis, Minnesota. Patricia Macgillivray practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Patricia Macgillivray is 1417949512. The last update date is 2016-01-26.
Patricia Macgillivray's current location address is 2525 Chicago Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128136107 and fax number 6518552310. The mailing address for Patricia Macgillivray is 2525 Chicago Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Macgillivray |
|---|---|
| Address | 2525 Chicago Ave, Minneapolis, Minnesota |
| Phone Number | 6128136107 |
| Fax Number | 6518552310 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1417949512 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2016-01-26 |
Provider Mailing Address Detail
| Address | 2525 Chicago Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554044518 |
| Phone Number | 6128136107 |
| Fax Number | 6518552310 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R077250-3 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2218700 | MN | -- |
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What is the Patricia Macgillivray's unique identification number?
The Patricia Macgillivray has been assigned the NPI (National Provider Identifier) Number 1417949512 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Patricia Macgillivray located?
The Patricia Macgillivray is located at 2525 Chicago Ave, Minneapolis, MN 554044518.
What is Patricia Macgillivray's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Patricia Macgillivray is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417949512 to Patricia Macgillivray?
The Centers for Medicare & Medicaid Services assigned the 1417949512 to Patricia Macgillivray on 2005-08-16.
As of what date were the details related to Patricia Macgillivray most recently updated or revised?
The information pertaining to Patricia Macgillivray, including its address, specialty, and other relevant details, was last updated or revised on 2016-01-26.