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 | 367500000X | Nurse Anesthetist, Certified Registered | | 28288476A | INDIANA | No |
| 2 | 363LA2200X | Nurse Practitioner | Adult Health | CNP 4535 | MINNESOTA | No |
| 3 | 367500000X | Nurse Anesthetist, Certified Registered | | 3206 | MINNESOTA | Yes |
| 4 | 363LG0600X | Nurse Practitioner | Gerontology | CNP 4535 | MINNESOTA | No |
| 5 | 363LP2300X | Nurse Practitioner | Primary Care | 4535 | MINNESOTA | No |