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NPI Code Detail

MEDICARE: DR. LINDSEY ANN MEHRAN-REZAII DNP, RN, CNP, MSCP

MEDICARE: DR. LINDSEY ANN MEHRAN-REZAII DNP, RN, CNP, MSCP
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
1363LA2200XAdult Health Nurse Practitioner2013016618MN
2363LG0600XGerontology Nurse Practitioner2013016618MN

General Provider Information

NPI Number : 1497181507
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDSEY ANN MEHRAN-REZAII DNP, RN, CNP, MSCP
Provider Business Mailing Address
First Line : 8101 34TH AVE S
Second Line : MS26602G
City : BLOOMINGTON
State : MN
Zip : 55425-1692
Country : US
Telephone Number : 952-883-6805
Fax Number : 952-883-6117
Provider Business Practice Location Address
First Line : 14665 GALAXIE AVE STE 140
Second Line :
City : APPLE VALLEY
State : MN
Zip : 55124-4509
Country : US
Telephone Number : 651-456-8494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2013
Last Update Date : 04/22/2026

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