TOTIANNA RENEE PRUDHOMME NP NPI 1821302100

NPI Information

NPI: 1821302100
Provider Name: TOTIANNA RENEE PRUDHOMME, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1560 BEAM AVE
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 779-7978
Get Directions

Totianna Renee Prudhomme, NP is an acute care nurse practitioner in Maplewood, MN with 14 years of experience. Totianna Renee Prudhomme, NP NPI is 1821302100. 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:

1560 BEAM AVE
MAPLEWOOD, MN
ZIP 55109-191
Phone: (651) 779-7978
Fax: (779) 765-6612

The NPI 1821302100 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 7/29/2010 and was last updated on 10/19/2022.

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	363LA2100X	Nurse Practitioner	Acute Care	R1716254	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: 4/28/2024

NPI Synchronization or Removal

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