Individual provider · Type 1 NPI
Jean Rae Newby-Lovelace
Gerontology Nurse Practitioner · Minneapolis, MN
NPI number
1790988913
Active
Practice location
2450 Riverside Ave
Minneapolis, MN 55454-2116
Mailing address
400 Stinson Blvd
Minneapolis, MN 55413-2614
Other practice locations
- 900 College Ave W, Ladysmith, WI 54848-2116 · (715) 532-5561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian | 133V00000X | 1760-029 (WI) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 7007 (MN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1790988913
Jean Rae Newby-Lovelace's National Provider Identifier is 1790988913, issued on Jun 6, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 16, 2019.