# FAIRVIEW

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720434228
- **Authorized official:** DARLA NYQUIST (NNP SUPERVISER)
- **Authorized official phone:** (612) 273-7032

## Contact information

- **Practice address:** 2450 RIVERSIDE AVE, NICU, MINNEAPOLIS, MN 55454-1450
- **Practice address phone:** (612) 273-7032
- **Mailing address:** 2450 RIVERSIDE AVE, NICU, MINNEAPOLIS, MN 55454-1450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | R-1606555 | MN | Yes |

## Other

- **Enumeration date:** 05/13/2016
- **Last updated:** 05/13/2016