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Birch Behavioral Medicine, Pllc
Nurse Practitioner in White Bear Lake, Minnesota
NPI 1588126478

Birch Behavioral Medicine, Pllc is a Nurse Practitioner based in White Bear Lake, MN. Birch Behavioral Medicine, Pllc practices in White Bear Lake, MN. The NPI Number for Birch Behavioral Medicine, Pllc is 1588126478 and holds a License No. (Minnesota).

The current practice location address for Birch Behavioral Medicine, Pllc is 1310 Highway 96 E Ste 104A, White Bear Lake, MN and can be reached out via phone at 651-905-3858.

Location: 1310 Highway 96 E Ste 104A, White Bear Lake, MN, 55110-3618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588126478
Provider Name
Birch Behavioral Medicine, Pllc
Credential
Provider Entity Type
Organization
Address
1310 Highway 96 E Ste 104A, White Bear Lake, MN, 55110-3618
Phone Number
651-905-3858
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6130789 01 MN STATE TAX ID
institution
Provider Business Practice Location Address Details
Address
1310 Highway 96 E Ste 104A
City
White Bear Lake
State
Minnesota
Zip
55110-3618
Phone Number
651-905-3858
Fax Number
person
Provider Business Mailing Address Details
Address
1310 Highway 96 E Ste 104A
City
White Bear Lake
State
Minnesota
Zip
55110-3618
Phone Number
651-905-3858
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
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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