DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: YOUR PATH, LLC

MEDICARE: YOUR PATH, LLC
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1093451361
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUR PATH, LLC
Provider Business Mailing Address
First Line : 700 RAYMOND AVE STE 130
Second Line :
City : SAINT PAUL
State : MN
Zip : 55114-1778
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 RAYMOND AVE STE 130
Second Line :
City : SAINT PAUL
State : MN
Zip : 55114-1778
Country : US
Telephone Number : 612-895-1511
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JORDAN HANSEN
Credential :
Telephone Number : 612-895-1511
Provider Enumeration Date : 05/10/2022
Last Update Date : 05/10/2022

Similar Medicare Providers

1528063765 — STEPHEN M DELISI MD
Practice Location Address:
700 RAYMOND AVE STE 130
SAINT PAUL, MN
55114-1778
Practice Phone: 612-699-7778
Practice Fax:
1205020005 — MELISSA M. J. BAUMGART APRN-BC
Practice Location Address:
700 RAYMOND AVE STE 130
SAINT PAUL, MN
55114-1778
Practice Phone: 612-895-1510
Practice Fax: 833-979-0945
1679915706 — PHILIP JOSEPH GYURA DNP, FNP-BC
Practice Location Address:
700 RAYMOND AVE STE 130
SAINT PAUL, MN
55114-1778
Practice Phone: 612-895-1510
Practice Fax: 833-979-0945
1285241075 — PJG MEDICAL L.L.C.
Practice Location Address:
700 RAYMOND AVE STE 130
SAINT PAUL, MN
55114-1778
Practice Phone: 612-895-1510
Practice Fax: 833-979-0945
1881387504 — YOURPATH CARE, PLLC
Practice Location Address:
700 RAYMOND AVE STE 130
SAINT PAUL, MN
55114-1778
Practice Phone: 612-895-1510
Practice Fax:
1174200356 — DR. NATHAN WILLIAM KORANDA DNP
Practice Location Address:
700 RAYMOND AVE STE 130
SAINT PAUL, MN
55114-1778
Practice Phone: 612-699-7766
Practice Fax:

Directions to “YOUR PATH, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.