Organization · Type 2 NPI

Target Clinic Minnesota

Nurse Practitioner · Minneapolis, MN

NPI number 1407282809 Active

Practice location

1650 New Brighton Blvd
Minneapolis, MN 55413-1643

Mailing address

PO Box 9066
Belfast, ME 04915-9066

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR16914-2 (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 1407282809

Target Clinic Minnesota's National Provider Identifier is 1407282809, issued on Sep 18, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 18, 2013.