Individual
NANCY KONSTANTINIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 HARVARD ST SE, RADIATION ONCOLOGY CLINIC, MINNEAPOLIS, MN 55455-0363
(612) 273-6700
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE ST SE MMC 494, MINNEAPOLIS, MN 55455
(612) 273-6700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
R-0950435
MN
363L00000X
Nurse Practitioner
Primary
R-0950435
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044945
PREFERRED ONE
MN
01
—
135262
UCARE
MN
01
—
2386131
AMERICA'S PPO
MN
05
—
41263800
—
MN
01
—
426M0KO
BCBS
MN
05
—
4306219
—
MT
01
—
B631
CHAMPUS
—
01
—
HP55785
HEALTH PARTNERS
MN
Enumeration date
10/13/2006
Last updated
02/27/2009
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