MEDICARE: JOSHUA ESPOSITO

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	163W00000X	Registered Nurse	2152066	MN

General Provider Information

NPI Number	:	1720507882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA ESPOSITO

Provider Business Mailing Address
First Line	:	5600 23RD AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55417-2718
Country	:	US
Telephone Number	:	612-685-6963
Fax Number	:

Provider Business Practice Location Address
First Line	:	5600 23RD AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55417-2718
Country	:	US
Telephone Number	:	612-685-6963
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2017
Last Update Date	:	07/21/2022

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Directions to “ JOSHUA ESPOSITO ” Practice Location

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