NPI 1265773204 · live from the CMS NPI Registry
Rebecca Lynne Carlson, CNP
Nurse Practitioner, Pediatrics in Minneapolis, MN. National Provider Identifier 1265773204, active.
NPI record
| NPI | 1265773204 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 701 Park Ave, Minneapolis, MN 55415 |
| Practice phone | 612-873-3000 |
| Mailing address | 3601 17th Ave S, Minneapolis, MN 55407 |
| Enumerated | March 14, 2013 |
| Last updated | March 14, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R1712999 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.