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SUSAN BORDEN PSYCH NPI 1780313478


NPI Information

NPI: 1780313478
Provider Name: SUSAN BORDEN PSYCH

Doing Business As: CENTER FOR CONSCIOUS ALCHEMY

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
121 WASHINGTON AVE N
MINNEAPOLIS, MN
ZIP 55401
Phone: (612) 424-0434
Get Directions

SUSAN BORDEN PSYCH is a psychiatric/mental health nurse practitioner in Minneapolis, MN. SUSAN BORDEN PSYCH NPI is 1780313478. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Center For Conscious Alchemy.

The provider's business location address is:

121 WASHINGTON AVE N
MINNEAPOLIS, MN
ZIP 55401-503
Phone: (612) 424-0434
Fax: (877) 905-7069

The provider's authorized official is Susan Borden .
The authorized official title is Owner and has the following contact phone number (612) 424-0434.

The enumeration date for this NPI number is 6/8/2022 and was last updated on 8/21/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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

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