Organization · Type 2 NPI
Southdale Medical Partners Corporation
Primary Care Nurse Practitioner · Oakdale, MN
NPI number
1043898778
Active
Practice location
902 Inwood Ave N Ste 902
Oakdale, MN 55128-6625
Mailing address
902 Inwood Ave N
St. Paul, MN 55128-6625
Other practice locations
- 6565 France Ave S Ste 350, Edina, MN 55435-2159 · (952) 999-4049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1043898778
Southdale Medical Partners Corporation's National Provider Identifier is 1043898778, issued on Apr 1, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Oakdale, MN. The record was last updated on May 3, 2023.