INTEGRATIVE GERIATRICS PLLC NPI 1932620796

NPI Information

  • NPI: 1932620796
  • Provider Name: INTEGRATIVE GERIATRICS, PLLC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • Address: 21897 S DIAMOND LAKE RD STE 400-403
    ROGERS, MN
    ZIP 55374
  • Phone: (763) 317-1122

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NPI Details

INTEGRATIVE GERIATRICS, PLLC is a gerontology nurse practitioner in Rogers, MN. INTEGRATIVE GERIATRICS, PLLC NPI is 1932620796. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21897 S DIAMOND LAKE RD STE 400-403
ROGERS, MN
ZIP 55374-642
Phone: (763) 317-1122

The provider's authorized official is Rebecca Ahlstrom .
The authorized official title is Nurse Pracitioner/owner and has the following contact phone number (612) 308-2162.

The enumeration date for this NPI number is 7/3/2017 and was last updated on 8/31/2021.

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
1363LG0600XNurse PractitionerGerontologyYes

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: 3/30/2025

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