Individual provider · Type 1 NPI

Annika Lee Blaine

Gerontology Nurse Practitioner · St. Paul, MN

NPI number 1699253468 Active

Practice location

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

Mailing address

1619 Oakbrooke Dr
Eagan, MN 55122-4205

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X1991914 (MN)
Adult Health Nurse Practitioner 363LA2200X6070 (MN)
Gerontology Nurse Practitioner Primary 363LG0600X6070 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1699253468

Annika Lee Blaine's National Provider Identifier is 1699253468, issued on Aug 2, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Paul, MN. The record was last updated on Nov 25, 2018.