Individual provider · Type 1 NPI

Lisa Bordeaux, CNP

Nurse Practitioner · Minneapolis, MN

NPI number 1376586792 Active

Practice location

4040 Coon Rapids Blvd NW, Suite 120
Minneapolis, MN 55433-2522

Fax (763) 427-9908

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XR1222515 (MN)
Nurse Practitioner Primary 363L00000X3228 (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 1376586792

Lisa Bordeaux, CNP's National Provider Identifier is 1376586792, issued on Jun 14, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 17, 2019.