NPI 1871552323 · live from the CMS NPI Registry
Laurel D Edinburgh, CPNP
Nurse Practitioner, Psych/Mental Health in Minneapolis, MN. National Provider Identifier 1871552323, active.
NPI record
| NPI | 1871552323 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 1716 Irving Ave S, Minneapolis, MN 55403 |
| Practice phone | 612-719-5392 |
| Mailing address | 2550 University Ave W Ste 229n, Saint Paul, MN 55114 |
| Enumerated | March 22, 2006 |
| Last updated | June 21, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 1215 (MN) |
| Nurse Practitioner, Pediatrics | 363LP0200X | R1447989 (MN) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | R144789-9 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.