LORENA C DE LA ROSA FNP-C NPI 1689124752

NPI Information

NPI: 1689124752
Provider Name: LORENA C DE LA ROSA, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
9900 BREN ROAD EAST
MAIL ROUTE MN 008-B213
MINNETONKA, MN
ZIP 55343
Phone: (480) 216-1993
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Lorena C De La Rosa, FNP-C is a family nurse practitioner in Minnetonka, MN. Lorena C De La Rosa, FNP-C NPI is 1689124752. 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:

9900 BREN ROAD EAST
MAIL ROUTE MN 008-B213
MINNETONKA, MN
ZIP 55343
Phone: (480) 216-1993

The NPI 1689124752 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 6/25/2020.

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	363LF0000X	Nurse Practitioner	Family	AP132170	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	AP10469	ARIZONA	Yes

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	296548	MEDICAID	ARIZONA

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: 11/14/2023

NPI Synchronization or Removal

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