IRIS REPRODUCTIVE PSYCHIATRIC CLINIC NPI 1730542572

NPI Information

NPI: 1730542572
Provider Name: IRIS REPRODUCTIVE PSYCHIATRIC CLINIC
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1500 MCANDREWS ROAD W
STE 227
BURNSVILLE, MN
ZIP 55337
Phone: (860) 406-4747
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IRIS REPRODUCTIVE PSYCHIATRIC CLINIC is a psychiatric/mental health clinical nurse specialist in Burnsville, MN. IRIS REPRODUCTIVE PSYCHIATRIC CLINIC NPI is 1730542572. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 MCANDREWS ROAD W
STE 227
BURNSVILLE, MN
ZIP 55337
Phone: (860) 406-4747
Fax: (612) 437-4759

The provider's authorized official is Samantha Ann Huguelet .
The authorized official title is Owner/operater and has the following contact phone number (860) 406-4747.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 3/30/2016.

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	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	R134588-7	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
1	P70130	MEDICARE UPIN	MINNESOTA
2	168946100	MEDICAID	MINNESOTA
3	890000344	MEDICARE OSCAR/CERTIFICATION	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: 11/14/2023

NPI Synchronization or Removal

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