Individual
NOELLE M MAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., M.A., C-A.N.P
Contact information
Practice address
8100 W 78TH ST, SUITE 225, EDINA, MN 55439-2516
(952) 946-9777
(952) 946-9888
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R958958
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401120
SELECT CARE
MN
01
—
1012400
PREFERRED ONE
MN
01
—
108042
PATIENT CHOICE
MN
01
—
116764
UCARE
MN
01
—
120003727
WEA
MN
01
—
21R85MA
BLUE CROSS/SHIELD
MN
01
—
23798
AMERICA'S PPO
MN
01
—
500005086
RAILROAD MEDICARE
MN
05
—
947217700
—
MN
01
—
HP19245
HEALTHPARTNERS
MN
Enumeration date
05/04/2006
Last updated
03/11/2021
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