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NPI Code Detail

MEDICARE: NANCY RO NEWMAN L.P.N., L.L.C.C.

MEDICARE: NANCY RO NEWMAN L.P.N., L.L.C.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseL0300043MN

General Provider Information

NPI Number : 1295926905
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY RO NEWMAN L.P.N., L.L.C.C.
Provider Business Mailing Address
First Line : 6311 WAYZATA BLVD
Second Line : SUITE 230
City : MINNEAPOLIS
State : MN
Zip : 55416-1209
Country : US
Telephone Number : 952-545-0200
Fax Number : 952-545-6388
Provider Business Practice Location Address
First Line : 6311 WAYZATA BLVD
Second Line : SUITE 230
City : MINNEAPOLIS
State : MN
Zip : 55416-1209
Country : US
Telephone Number : 952-545-0200
Fax Number : 952-545-6388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2007
Last Update Date : 08/07/2007

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