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NPI Code Detail

MEDICARE: MEILYN SANTAMARIA PMHNP-BC, APRN

MEDICARE: MEILYN SANTAMARIA PMHNP-BC, APRN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner11692MN
2163WP0808XPsychiatric/Mental Health Registered Nurse2457712MN

General Provider Information

NPI Number : 1720859226
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEILYN SANTAMARIA PMHNP-BC, APRN
Provider Business Mailing Address
First Line : 2115 CEDAR AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-3102
Country : US
Telephone Number : 952-826-8475
Fax Number :
Provider Business Practice Location Address
First Line : 2115 CEDAR AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-3102
Country : US
Telephone Number : 651-392-7840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2024
Last Update Date : 10/02/2025

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Directions to “ MEILYN SANTAMARIA PMHNP-BC, APRN” Practice Location

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