Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Children's Twin Cities
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE D. STEWART (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
215 RADIO DR STE 100, WOODBURY, MN 55125-5817
(612) 596-6100
(612) 339-7634
Mailing address
PO BOX 8500 LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-0300
(813) 281-0943
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
09/20/2018
Last updated
08/09/2024
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