MEDICARE: ROBIN DILTS

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	363LW0102X	Women's Health Nurse Practitioner	R 113443-8	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	07-12563	OTHER	MN	MEDICA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	6982979	OTHER	MN	EVERCARE
4	HP27739	OTHER	MN	HEALTHPARTNERS
5	18G21DI	OTHER	MN	BLUE CROSS BLUE SHIELD
6	123386	OTHER	MN	UCARE

General Provider Information

NPI Number	:	1841211786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN DILTS

Provider Business Mailing Address
First Line	:	525 PORTLAND AVE
Second Line	:	HSB 4TH FLOOR, MC 952
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55415-1533
Country	:	US
Telephone Number	:	612-348-9840
Fax Number	:	612-596-7900

Provider Business Practice Location Address
First Line	:	525 PORTLAND AVE
Second Line	:	HSB 4TH FLOOR, MC 952
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55415-1533
Country	:	US
Telephone Number	:	612-348-9840
Fax Number	:	612-596-7900

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

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	04/15/2013

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Directions to “ ROBIN DILTS ” Practice Location

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