Healthcare Provider Details

I. General information

NPI: 1730620105
Provider Name (Legal Business Name): MEGHAN ELIZABETH ROBINSON-SCHACHT APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2017
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 CHICAGO AVE
MINNEAPOLIS MN
55404-4518
US

IV. Provider business mailing address

2619 FREMONT AVE S
MINNEAPOLIS MN
55408-1104
US

V. Phone/Fax

Practice location:
  • Phone: 612-813-7888
  • Fax: 612-813-7199
Mailing address:
  • Phone: 908-892-0173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberCNP 5065
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: