Organization · Type 2 NPI
Pathway Virtu-Health
Family Nurse Practitioner · Shoreview, MN
NPI number
1073134284
Active
Practice location
4570 Churchill St Ste 140
Shoreview, MN 55126-2274
Fax (612) 349-2790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1073134284
Pathway Virtu-Health's National Provider Identifier is 1073134284, issued on Apr 28, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shoreview, MN. The record was last updated on Jan 20, 2023.