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Minnesota Oncology Hematology, Pa
Nurse Practitioner in Fridley, Minnesota
NPI 1356585442

Minnesota Oncology Hematology, Pa is a Nurse Practitioner based in Fridley, MN. Minnesota Oncology Hematology, Pa practices in Fridley, MN. The NPI Number for Minnesota Oncology Hematology, Pa is 1356585442 and holds a License No. 1076 (Minnesota).

The current practice location address for Minnesota Oncology Hematology, Pa is 480 Osborne Rd Ne, Fridley, MN and can be reached out via phone at 763-786-1620 and via fax at 763-780-3099.

Location: 480 Osborne Rd Ne, Fridley, MN, 55432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356585442
Provider Name
Minnesota Oncology Hematology, Pa
Credential
Provider Entity Type
Organization
Address
480 Osborne Rd Ne, Fridley, MN, 55432
Phone Number
763-786-1620
Fax Number
763-780-3099
Provider Enumeration Date
04/21/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C01828 01 MN MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
480 Osborne Rd Ne
City
Fridley
State
Minnesota
Zip
55432
Phone Number
763-786-1620
Fax Number
763-780-3099
person
Provider Business Mailing Address Details
Address
480 Osborne Rd Ne
City
Fridley
State
Minnesota
Zip
55432
Phone Number
763-786-1620
Fax Number
763-780-3099
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
1076 (Minnesota)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
207RX0202X
License No.
1076 (Minnesota)
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
1076 (Minnesota)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1076 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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