Healthcare Provider Details

I. General information

NPI: 1669590485
Provider Name (Legal Business Name): MAREN SCHIESS RINKER RN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAREN TUTHILL SCHIESS RN, CNP

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 05/10/2024
Certification Date: 09/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7831 E BUSH LAKE RD STE 201
MINNEAPOLIS MN
55439-3112
US

IV. Provider business mailing address

6101 W OLD SHAKOPEE RD UNIT 385008
BLOOMINGTON MN
55438-2720
US

V. Phone/Fax

Practice location:
  • Phone: 612-443-7301
  • Fax:
Mailing address:
  • Phone: 612-443-7301
  • Fax: 952-351-9392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP0947
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR 196593-7
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209006512
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: