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Organization
REPROHEALTH PLLC
Active
Organization
REPROHEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DER VUE NP (CLINICIAN)
(763) 273-3770
Entity
Organization
Contact information
Practice address
165 WESTERN AVE N SUITE 8 OFFICE 102, ST PAUL, MN 55102-4613
(763) 273-3770
Mailing address
165 WESTERN AVE N SUITE 8 OFFICE 102, SAINT PAUL, MN 55102-4613
(763) 273-3770
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
NULL
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
08/20/2026
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