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NPI Code Detail

MEDICARE: MR. DANIEL PAUL SPIELMAN APRN, CNP

MEDICARE: MR. DANIEL PAUL SPIELMAN APRN, CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseR-143255-4MN
2363L00000XNurse PractitionerCNP1090MN

General Provider Information

NPI Number : 1063413250
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL PAUL SPIELMAN APRN, CNP
Provider Business Mailing Address
First Line : 4200 DAHLBERG DR STE 300
Second Line :
City : GOLDEN VALLEY
State : MN
Zip : 55422-4841
Country : US
Telephone Number : 952-512-5600
Fax Number :
Provider Business Practice Location Address
First Line : 4040 RADIO DR
Second Line :
City : WOODBURY
State : MN
Zip : 55129-3237
Country : US
Telephone Number : 651-439-8807
Fax Number : 651-439-0232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 06/07/2023

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