# SHRINERS HOSPITALS FOR CHILDREN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shriners Children's Twin Cities
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992289490
- **Authorized official:** LESLIE D. STEWART (PRESIDENT)
- **Authorized official phone:** (813) 281-0300

## Contact information

- **Practice address:** 215 RADIO DR STE 100, WOODBURY, MN 55125-5817
- **Practice address phone:** (612) 596-6100
- **Practice address fax:** (612) 339-7634
- **Mailing address:** PO BOX 8500 LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
- **Mailing address phone:** (813) 281-0300
- **Mailing address fax:** (813) 281-0943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 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