Healthcare Provider Details

I. General information

NPI: 1861174070
Provider Name (Legal Business Name): MEGHAN JESSICA HOHENSTEIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 WABASHA ST S
SAINT PAUL MN
55107-1805
US

IV. Provider business mailing address

9209 VENESS RD
BLOOMINGTON MN
55438-1462
US

V. Phone/Fax

Practice location:
  • Phone: 952-967-5584
  • Fax:
Mailing address:
  • Phone: 612-916-0410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number553
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: