Organization · Type 2 NPI

Successful Connections, LLC

Nurse Practitioner · Columbia Heights, MN

NPI number 1821552647 Active

Practice location

4201 3rd St NE Apt 6
Columbia Heights, MN 55421-2742

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

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…

NPI record

NPI: 1821552647
Entity type: Organization (Type 2)
Issued: Jan 25, 2019
Last updated: Jan 28, 2019
Status: Active
Subpart: Yes of Health Empowerment Institute Inc

Other names

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Successful Connections Health and Wellness Institute · doing business as

Authorized official

Pandora White, CNP
Nurse Practitioner
(612) 272-8009

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821552647

Successful Connections, LLC's National Provider Identifier is 1821552647, issued on Jan 25, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbia Heights, MN. The record was last updated on Jan 28, 2019.