MEDICARE: DR. MAREN SCHIESS RINKER RN, CNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	CNP0947	MN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R 196593-7	MN
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	209006512	IL

General Provider Information

NPI Number	:	1669590485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAREN SCHIESS RINKER RN, CNP

Provider Business Mailing Address
First Line	:	6101 W OLD SHAKOPEE RD UNIT 385008
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55438-2720
Country	:	US
Telephone Number	:	612-443-7301
Fax Number	:	952-351-9392

Provider Business Practice Location Address
First Line	:	7831 E BUSH LAKE RD STE 201
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55439-3112
Country	:	US
Telephone Number	:	612-443-7301
Fax Number	:

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	05/10/2024

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