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Pathway Virtu-health
Family Nurse Practitioner in Shoreview, Minnesota
NPI 1073134284

Pathway Virtu-health is a Family Nurse Practitioner based in Shoreview, MN and is specialized in Family. Pathway Virtu-health practices in Shoreview, MN. The NPI Number for Pathway Virtu-health is 1073134284 and holds a License No. (Minnesota).

The current practice location address for Pathway Virtu-health is 4570 Churchill St Ste 140, Shoreview, MN and can be reached out via phone at 612-517-1293 and via fax at 612-349-2790.

Location: 4570 Churchill St Ste 140, Shoreview, MN, 55126-2274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073134284
Provider Name
Pathway Virtu-health
Credential
Provider Entity Type
Organization
Address
4570 Churchill St Ste 140, Shoreview, MN, 55126-2274
Phone Number
612-517-1293
Fax Number
612-349-2790
Provider Enumeration Date
04/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4570 Churchill St Ste 140
City
Shoreview
State
Minnesota
Zip
55126-2274
Phone Number
612-517-1293
Fax Number
612-349-2790
person
Provider Business Mailing Address Details
Address
4570 Churchill St Ste 140
City
Shoreview
State
Minnesota
Zip
55126-2274
Phone Number
612-517-1293
Fax Number
612-349-2790
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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