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 | 163W00000X | Registered Nurse | | R 199881-0 | MINNESOTA | No |
| 2 | 163WA0400X | Registered Nurse | Addiction (Substance Use Disorder) | R 199881-0 | MINNESOTA | No |
| 3 | 163WC0200X | Registered Nurse | Critical Care Medicine | R 199881-0 | MINNESOTA | No |
| 4 | 163WC0400X | Registered Nurse | Case Management | R 199881-0 | MINNESOTA | No |
| 5 | 163WG0000X | Registered Nurse | General Practice | R 199881-0 | MINNESOTA | No |
| 6 | 163WH0200X | Registered Nurse | Home Health | R 199881-0 | MINNESOTA | No |
| 7 | 163WP0200X | Registered Nurse | Pediatrics | R 199881-0 | MINNESOTA | No |
| 8 | 163WA2000X | Registered Nurse | Administrator | R199881-0 | MINNESOTA | No |
| 9 | 163WP0809X | Registered Nurse | Psychiatric/Mental Health, Adult | R199881-0 | MINNESOTA | No |
| 10 | 163WP0808X | Registered Nurse | Psychiatric/Mental Health | R 199881-0 | MINNESOTA | Yes |
