Carmen Renee Gran Henke in Roseville - Neonatal
Carmen Renee Gran Henke - NPI 1205892833
Carmen Renee Gran Henke is a Neonatal in Roseville, Minnesota. Carmen Renee Gran Henke practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Carmen Renee Gran Henke is 1205892833. The last update date is 2016-12-19.
Carmen Renee Gran Henke'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 Carmen Renee Gran Henke is 2910 Centre Pointe Drive, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carmen Renee Gran Henke |
|---|---|
| Address | 2910 Centre Pointe Drive, Roseville, Minnesota |
| Phone Number | 6518552327 |
| Fax Number | 6518552310 |
| Sole Proprietor | N |
| Credentials | CNNP |
NPI Number Detail
| NPI Number | 1205892833 |
|---|---|
| Provider Enumeration Date | 2006-04-22 |
| Last Updated Date | 2016-12-19 |
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 | Neonatal |
|---|---|
| Taxonomy | 363Ln0000X |
| Licence No | R1475155 |
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Definition: An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 318656300 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carmen Renee Gran Henke by the Centers for Medicare & Medicaid Services?
The Carmen Renee Gran Henke has been assigned the NPI (National Provider Identifier) 1205892833 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Carmen Renee Gran Henke?
The Carmen Renee Gran Henke is physically situated at 2910 Centre Pointe Drive, in the city of Roseville, state of MN, with the postal code 55113.
What is Carmen Renee Gran Henke's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Carmen Renee Gran Henke is Neonatal, and the corresponding taxonomy classification code for this specialized field is 363Ln0000X.
When did Carmen Renee Gran Henke receive its 1205892833 assignment?
The Carmen Renee Gran Henke was assigned its 1205892833 on 2006-04-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Carmen Renee Gran Henke last refreshed?
The information related to the Carmen Renee Gran Henke, including its address, specialty, and other relevant details, was last updated on 2016-12-19.