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Individual

MRS. RACHEL LESLEY BAKANOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
HENNEPIN HEALTHCARE EAST LAKE CLINIC, 2700 EAST LAKE ST. #1100, MINNEAPOLIS, MN 55406
(612) 873-6963
(612) 276-0188
Mailing address
HENNEPIN HEALTHCARE EAST LAKE CLINIC, 2700 EAST LAKE ST. #1100, MINNEAPOLIS, MN 55406
(612) 873-6963
(612) 276-0188

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
208604-8
MN
363LF0000X
Family Nurse Practitioner
0024167030
VA
363LF0000X
Family Nurse Practitioner
Primary
CNP1533
MN

Other

Enumeration date
10/06/2005
Last updated
11/28/2018
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