MEDICARE: BARBARA SCHIEFEN

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
1	163W00000X	Registered Nurse	R1311329	MN
2	363L00000X	Nurse Practitioner	CNP 3385	MN

General Provider Information

NPI Number	:	1073590881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA SCHIEFEN

Provider Business Mailing Address
First Line	:	6465 WAYZATA BLVD
Second Line	:	STE 315
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55426-1728
Country	:	US
Telephone Number	:	952-993-7169
Fax Number	:	952-993-0300

Provider Business Practice Location Address
First Line	:	15245 BLUEBIRD ST NW
Second Line	:	HEALTHPARTNERS RIVERWAY ANDOVER URGENT CARE
City	:	ANDOVER
State	:	MN
Zip	:	55304
Country	:	US
Telephone Number	:	952-853-8800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	10/04/2016

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