Alexis Rupp Maciej in Minneapolis - Pediatrics
Alexis Rupp Maciej - NPI 1902988421
Alexis Rupp Maciej is a Pediatrics in Minneapolis, Minnesota. Alexis Rupp Maciej practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Alexis Rupp Maciej is 1902988421. The last update date is 2023-11-28.
Alexis Rupp Maciej's current location address is 2450 Riverside Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6126726000. The mailing address for Alexis Rupp Maciej is 2450 Riverside Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexis Rupp Maciej |
|---|---|
| Address | 2450 Riverside Ave, Minneapolis, Minnesota |
| Phone Number | 6126726000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1902988421 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2023-11-28 |
Provider Mailing Address Detail
| Address | 2450 Riverside Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554541450 |
| Phone Number | 6126726000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R 146818-8 |
|
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 |
|---|---|---|---|
| 599746 | IA | -- | |
| 2393329 | ARAZ | ||
| 135386 | UCARE | ||
| 41270300 | WI | -- | |
| B675 | TRICARE/TRIWEST | ||
| 1046051 | PREFERREDONE | ||
| 12-09026 | MEDICAID PRIMARY | ||
| 994940200 | MN | -- | |
| 12-03425 | MEDICA - CHOICE | ||
| 4306627 | MT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Alexis Rupp Maciej by the Centers for Medicare & Medicaid Services?
The Alexis Rupp Maciej has been assigned the NPI (National Provider Identifier) 1902988421 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Alexis Rupp Maciej?
The Alexis Rupp Maciej is situated at 2450 Riverside Ave, in the city of Minneapolis, state of MN, with the zip code 554541450.
What is the area of specialization for Alexis Rupp Maciej, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alexis Rupp Maciej is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902988421 to Alexis Rupp Maciej?
The Centers for Medicare & Medicaid Services originally issued the 1902988421 to Alexis Rupp Maciej on 2006-10-20.
As of what date were the details related to Alexis Rupp Maciej most recently updated or revised?
The information pertaining to Alexis Rupp Maciej, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-28.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN