Individual provider · Type 1 NPI
Maisa Alves Pebbles, CNP
Nurse Practitioner · Maple Grove, MN
Practice location
9855 Hospital Dr Ste 102A
Maple Grove, MN 55369-4648
Fax (763) 581-9221
Mailing address
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 575 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1336117480
Maisa Alves Pebbles, CNP's National Provider Identifier is 1336117480, issued on Mar 14, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Maple Grove, MN. The record was last updated on Jan 10, 2025.