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Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Children's Twin Cities
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE D. STEWART (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
215 RADIO DR STE 100, WOODBURY, MN 55125-5817
(612) 596-6100
(612) 339-7634
Mailing address
PO BOX 8500 LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-0300
(813) 281-0943
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
09/20/2018
Last updated
08/09/2024
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