MEDICARE: RHONDA IRENE BAKKE NP

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	363LF0000X	Family Nurse Practitioner	R1486144	MN

General Provider Information

NPI Number	:	1093026528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA IRENE BAKKE NP

Provider Business Mailing Address
First Line	:	2905 RAINIER CIR
Second Line	:
City	:	BURNSVILLE
State	:	MN
Zip	:	55337-3429
Country	:	US
Telephone Number	:	515-321-3348
Fax Number	:

Provider Business Practice Location Address
First Line	:	5450 LYNDALE AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55419-1718
Country	:	US
Telephone Number	:	888-290-1209
Fax Number	:	833-973-3529

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

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	07/23/2025

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