Healthcare Provider Details

I. General information

NPI: 1548513146
Provider Name (Legal Business Name): MARIA PATRICIA FALVEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2012
Last Update Date: 10/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 S 7TH ST #1923
MINNEAPOLIS MN
55415-1626
US

IV. Provider business mailing address

5750 157TH LN NW
RAMSEY MN
55303-5905
US

V. Phone/Fax

Practice location:
  • Phone: 612-305-0972
  • Fax:
Mailing address:
  • Phone: 763-234-4003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberR 164843-2
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: