NANCY LIDDY NPI 1891716528

NPI Information

NPI: 1891716528
Provider Name: NANCY LIDDY
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
525 PORTLAND AVE
MC: 952
MINNEAPOLIS, MN
ZIP 55415
Phone: (612) 348-9840
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Nancy Liddy is an adult health nurse practitioner in Minneapolis, MN. Nancy Liddy NPI is 1891716528. 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:

525 PORTLAND AVE
MC: 952
MINNEAPOLIS, MN
ZIP 55415-533
Phone: (612) 348-9840
Fax: (612) 596-7900

The enumeration date for this NPI number is 7/21/2006 and was last updated on 4/15/2013.

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	363LA2200X	Nurse Practitioner	Adult Health	R072865-4	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	Other Provider Identifier Issuer
1	715711042694	OTHER	MINNESOTA	PREFERRED ONE
2	9G707LI	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
3	NP0728654	MEDICARE UPIN	MINNESOTA
4	500001306	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
5	7497229-00	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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