TARA LILJESTRAND NP NPI 1902189418

NPI Information

NPI: 1902189418
Provider Name: TARA LILJESTRAND, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
9900 BREN RD E
MINNETONKA, MN
ZIP 55343
Phone: (413) 372-2850
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Tara Liljestrand, NP is an adult health nurse practitioner in Minnetonka, MN. Tara Liljestrand, NP NPI is 1902189418. 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 RD E
MINNETONKA, MN
ZIP 55343-664
Phone: (413) 372-2850

The NPI 1902189418 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 9/21/2011 and was last updated on 12/2/2021.

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	085152-23	NEW HAMPSHIRE	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	RN2263050	MASSACHUSETTS	No
3	363LG0600X	Nurse Practitioner	Gerontology	085152-23	NEW HAMPSHIRE	No
4	363LG0600X	Nurse Practitioner	Gerontology	RN2263050	MASSACHUSETTS	No

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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