Organization
FAIRVIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA NYQUIST (NNP SUPERVISER)
(612) 273-7032
Entity
Organization
Contact information
Practice address
2450 RIVERSIDE AVE, NICU, MINNEAPOLIS, MN 55454-1450
(612) 273-7032
Mailing address
2450 RIVERSIDE AVE, NICU, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
R-1606555
MN
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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