MRS. MARY ANNE ELDER FNP-C NPI 1689634677

NPI Information

NPI: 1689634677
Provider Name: MRS. MARY ANNE ELDER, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
825 NICOLLET MALL
SUITE 1149
MINNEAPOLIS, MN
ZIP 55402
Phone: (612) 338-3333
Get Directions

MRS. Mary Anne Elder, FNP-C is a family nurse practitioner in Minneapolis, MN. MRS. Mary Anne Elder, FNP-C NPI is 1689634677. 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:

825 NICOLLET MALL
SUITE 1149
MINNEAPOLIS, MN
ZIP 55402-606
Phone: (612) 338-3333
Fax: (612) 349-3838

The enumeration date for this NPI number is 3/24/2006 and was last updated on 2/2/2010.

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	R1176072	MINNESOTA	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
1	Q27416	MEDICARE UPIN	MINNESOTA
2	500002712	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
3	50017800	MEDICAID	MINNESOTA

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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