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Crown Medical Center
Primary Care Nurse Practitioner in Minneapolis, Minnesota
NPI 1588916282

Crown Medical Center is a Primary Care Nurse Practitioner based in Minneapolis, MN and is specialized in Primary Care. Crown Medical Center practices in Minneapolis, MN. The NPI Number for Crown Medical Center is 1588916282 and holds a License No. 209405-6 (Minnesota).

The current practice location address for Crown Medical Center is 1925 1St Ave S, Minneapolis, MN and can be reached out via phone at 612-871-4354 and via fax at 612-872-4343.

Location: 1925 1St Ave S, Minneapolis, MN, 55403-3724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588916282
Provider Name
Crown Medical Center
Credential
Provider Entity Type
Organization
Address
1925 1St Ave S, Minneapolis, MN, 55403-3724
Phone Number
612-871-4354
Fax Number
612-872-4343
Provider Enumeration Date
10/05/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A)41153 01 MN MHP
institution
Provider Business Practice Location Address Details
Address
1925 1St Ave S
City
Minneapolis
State
Minnesota
Zip
55403-3724
Phone Number
612-871-4354
Fax Number
612-872-4343
person
Provider Business Mailing Address Details
Address
1925 1St Ave S
City
Minneapolis
State
Minnesota
Zip
55403-3724
Phone Number
612-871-4354
Fax Number
612-872-4343
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
209405-6 (Minnesota)
Definition
Definition to come...
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