NPI 1932145158 · live from the CMS NPI Registry
Anne Louise Boisclair-Fahey, N.P.
Nurse Practitioner in Minneapolis, MN. National Provider Identifier 1932145158, active.
NPI record
| NPI | 1932145158 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | University Of Minnesota Physicians, 516 Delaware Street Se, Pwb First Floor, Clinic 1e, Minneapolis, MN 55455 |
| Practice phone | 612-626-6666 |
| Mailing address | University Of Minnesota Physicians, 420 Delaware Street Se, Mmc 394, Minneapolis, MN 55455 |
| Enumerated | June 22, 2006 |
| Last updated | December 12, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | R 083633-9 (MN) |
| Nurse Practitioner, Pediatrics | 363LP0200X | R 083633-9 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.