MEDICARE: MUSICAL BEGINNINGS

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
1	374J00000X	Doula

General Provider Information

NPI Number	:	1629325303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUSICAL BEGINNINGS

Provider Business Mailing Address
First Line	:	1601 OAK PARK AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-3954
Country	:	US
Telephone Number	:	612-251-5317
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 OAK PARK AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-3954
Country	:	US
Telephone Number	:	612-251-5317
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. WILLETTE WHITTED
Credential	:
Telephone Number	:	612-251-5317

Provider Enumeration Date	:	08/13/2012
Last Update Date	:	08/13/2012

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Directions to “MUSICAL BEGINNINGS ” Practice Location

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