MRS. RAQUEL ALEJANDRA DE LA MATER NP NPI 1760747471

NPI Information

NPI: 1760747471
Provider Name: MRS. RAQUEL ALEJANDRA DE LA MATER, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
420 DELAWARE ST SE
MMC 195
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 624-5915
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MRS. Raquel Alejandra De La Mater, NP is an adult health nurse practitioner in Minneapolis, MN with 12 years of experience. MRS. Raquel Alejandra De La Mater, NP NPI is 1760747471. 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:

420 DELAWARE ST SE
MMC 195
MINNEAPOLIS, MN
ZIP 55455-341
Phone: (612) 624-5915

The NPI 1760747471 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 7/9/2012 and was last updated on 8/9/2012.

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	390200000X	Student in an Organized Health Care Education/Training Program		R1942536	MINNESOTA	No
2	363LG0600X	Nurse Practitioner	Gerontology	R1942536	MINNESOTA	No
3	363LA2200X	Nurse Practitioner	Adult Health	R1942536	MINNESOTA	Yes

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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