Healthcare Provider Details

I. General information

NPI: 1275787715
Provider Name (Legal Business Name): UNIVERSITY OF MINNESOTA SCHOOL OF NURSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2008
Last Update Date: 11/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 HARVARD STREET SE 5140 WEAVER DENSFORD HALL
MINNEAPOLIS MN
55455-0342
US

IV. Provider business mailing address

308 HARVARD STREET SE 5140 WEAVER DENSFORD HALL
MINNEAPOLIS MN
55455-0342
US

V. Phone/Fax

Practice location:
  • Phone: 612-626-2102
  • Fax: 612-624-3174
Mailing address:
  • Phone: 612-626-2102
  • Fax: 612-624-3174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. CONNIE WHITE DELANEY
Title or Position: DEAN - SCHOOL OF NURSING
Credential: PHD, RN
Phone: 612-624-1410