MARY KATHLEEN EGGINK NP NPI 1124058110

NPI Information

NPI: 1124058110
Provider Name: MARY KATHLEEN EGGINK, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
1020 BANDANA BLVD W
SAINT PAUL, MN
ZIP 55108
Phone: (651) 641-7000
Get Directions

Mary Kathleen Eggink, NP is a gerontology nurse practitioner in Saint Paul, MN. Mary Kathleen Eggink, NP NPI is 1124058110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1020 BANDANA BLVD W
SAINT PAUL, MN
ZIP 55108-107
Phone: (651) 641-7000
Fax: (651) 641-7166

The enumeration date for this NPI number is 7/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	R0769231	MINNESOTA	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	R0769231	MINNESOTA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S07954	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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