Healthcare Provider Details

I. General information

NPI: 1598731978
Provider Name (Legal Business Name): DEBRAH G ALBERT CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEE ALBERT

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 WABASHA ST S
SAINT PAUL MN
55107-1805
US

IV. Provider business mailing address

8100 34TH AVE S 21110Q
BLOOMINGTON MN
55425-1672
US

V. Phone/Fax

Practice location:
  • Phone: 651-293-8100
  • Fax: 651-293-8106
Mailing address:
  • Phone: 952-883-7961
  • Fax: 952-883-5395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1452961
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: