Individual
MRS. LISA BORDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4040 COON RAPIDS BLVD NW, SUITE 120, MINNEAPOLIS, MN 55433-2522
(763) 427-9980
(763) 427-9908
Mailing address
4040 COON RAPIDS BLVD NW, SUITE 120, MINNEAPOLIS, MN 55433-2522
(763) 427-9980
(763) 427-9908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3228
MN
363L00000X
Nurse Practitioner
R1222515
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
771170100
—
MN
Enumeration date
06/14/2006
Last updated
06/17/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us