NEW LEAF CENTERS PLLC NPI 1689095051

NPI Information

NPI: 1689095051
Provider Name: NEW LEAF CENTERS PLLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
5000 W 36TH ST STE 205
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 807-0415
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NEW LEAF CENTERS PLLC is an adult health nurse practitioner in St Louis Park, MN. NEW LEAF CENTERS PLLC NPI is 1689095051. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5000 W 36TH ST STE 205
ST LOUIS PARK, MN
ZIP 55416-760
Phone: (952) 807-0415
Fax: (952) 426-3032

The provider's authorized official is Cheryl Landwehr .
The authorized official title is Manager and has the following contact phone number (952) 801-0415.

The enumeration date for this NPI number is 1/2/2014 and was last updated on 1/2/2014.

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	1336125111	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: 11/14/2023

NPI Synchronization or Removal

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