Individual
DR. NANCY LEE VANBUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1875 WOODWINDS DRIVE, SUITE 220, WOODBURY, MN 55125-2298
(651) 264-1500
(651) 264-1646
Mailing address
737 PELHAM BLVD, INNOVATIVE BLOOD RESOURCES, SAINT PAUL, MN 55114-1739
(651) 332-7272
(651) 332-7022
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
29007
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
29007
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013957200
—
MN
05
—
099565700
—
MN
05
—
191813300
—
MN
Enumeration date
07/17/2006
Last updated
11/02/2015
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