Individual provider · Type 1 NPI

Alexandra Staum Reif, CPNP

Pediatric Nurse Practitioner · Woodbury, MN

NPI number 1629590872 Active

Practice location

1825 Woodwinds Dr
Woodbury, MN 55125-2202

Mailing address

1700 University Ave W, Provider Enrollment
St. Paul, MN 55104-3727

Other practice locations

  • 11107 Ulysses Street NE, Suite 100, Blaine, MN 55434 · (763) 333-7733

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X5236 (MN)

Pediatric Nurse Practitioner: Definition to come...

39 other providers at this address

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About NPI 1629590872

Alexandra Staum Reif, CPNP's National Provider Identifier is 1629590872, issued on Jul 10, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Woodbury, MN. The record was last updated on Apr 28, 2022.