Elisa Mari Tanaka in Plymouth - Student In An Organized Health Care Education/training Program
Elisa Mari Tanaka - NPI 1235305483
Elisa Mari Tanaka is a Student In An Organized Health Care Education/training Program in Plymouth, Minnesota. Elisa Mari Tanaka practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Elisa Mari Tanaka is 1235305483. The last update date is 2021-12-29.
Elisa Mari Tanaka's current location address is 14700 28th Ave N Ste 20, Plymouth, Minnesota. You can contact this provider via phone number 7638520411. The mailing address for Elisa Mari Tanaka is 14700 28th Ave N Ste 20, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Elisa Mari Tanaka |
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Address | 14700 28th Ave N Ste 20, Plymouth, Minnesota |
Phone Number | 7638520411 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1235305483 |
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Provider Enumeration Date | 2008-05-07 |
Last Updated Date | 2021-12-29 |
Provider Mailing Address Detail
Address | 14700 28th Ave N Ste 20 |
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City | Plymouth |
State | Minnesota (MN) |
Post Code | 554474876 |
Phone Number | 7638520411 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Student In An Organized Health Care Education/training Program |
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Taxonomy | 390200000X |
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
20394 | MN | RESIDENT PERMIT |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Elisa Mari Tanaka by the Centers for Medicare & Medicaid Services?
The Elisa Mari Tanaka has been issued the NPI (National Provider Identifier) 1235305483 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Elisa Mari Tanaka?
The Elisa Mari Tanaka is situated at 14700 28Th Ave N Ste 20, in the city of Plymouth, state of MN, with the zip code 554474876.
What is Elisa Mari Tanaka's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elisa Mari Tanaka is Student In An Organized Health Care Education/training Program, and the taxonomy classification code that categorizes this area of expertise is 390200000X.
When was the Elisa Mari Tanaka's 1235305483 issued?
The Elisa Mari Tanaka's 1235305483 was issued on 2008-05-07.
When was the information pertaining to Elisa Mari Tanaka most recently updated or revised?
The details related to Elisa Mari Tanaka, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-29.