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Genovations Regen Pllc
Family Nurse Practitioner in Eagan, Minnesota
NPI 1457005548

Genovations Regen Pllc is a Family Nurse Practitioner based in Eagan, MN and is specialized in Family. Genovations Regen Pllc practices in Eagan, MN. The NPI Number for Genovations Regen Pllc is 1457005548 and holds a License No. (Minnesota).

The current practice location address for Genovations Regen Pllc is 2228 James St, Eagan, MN and can be reached out via phone at 210-630-0146.

Location: 2228 James St, Eagan, MN, 55122-2336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457005548
Provider Name
Genovations Regen Pllc
Credential
Provider Entity Type
Organization
Address
2228 James St, Eagan, MN, 55122-2336
Phone Number
210-630-0146
Fax Number
Provider Enumeration Date
02/08/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2228 James St
City
Eagan
State
Minnesota
Zip
55122-2336
Phone Number
210-630-0146
Fax Number
person
Provider Business Mailing Address Details
Address
2228 James St
City
Eagan
State
Minnesota
Zip
55122-2336
Phone Number
210-630-0146
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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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