MEDICARE: SAINT GIANNA OBSTETRICS FERTILITY AND SURGERY PLLC

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	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1457042137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT GIANNA OBSTETRICS FERTILITY AND SURGERY PLLC

Provider Business Mailing Address
First Line	:	3100 KENNARD ST STE 230
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55109-5466
Country	:	US
Telephone Number	:	651-397-0570
Fax Number	:	651-314-4134

Provider Business Practice Location Address
First Line	:	3100 KENNARD ST STE 230
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55109-5466
Country	:	US
Telephone Number	:	651-397-0570
Fax Number	:	651-314-4134

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ELIZABETH NORDIN
Credential	:	MD
Telephone Number	:	651-397-0570

Provider Enumeration Date	:	05/15/2023
Last Update Date	:	06/19/2025

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