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Nancy Liddy
Adult Health Nurse Practitioner in Minneapolis, Minnesota
NPI 1891716528

Nancy Liddy is an Adult Health Nurse Practitioner based in Minneapolis, MN and is specialized in Adult Health. Nancy Liddy practices in Minneapolis, MN. The NPI Number for Nancy Liddy is 1891716528 and holds a License No. R072865-4 (Minnesota).

The current practice location address for Nancy Liddy is 525 Portland Ave, Minneapolis, MN and can be reached out via phone at 612-348-9840 and via fax at 612-596-7900.

Location: 525 Portland Ave, Minneapolis, MN, 55415-1533
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Provider Profile Details
NPI Number
1891716528
Provider Name
Nancy Liddy
Credential
Provider Entity Type
Individual
Gender
Female
Address
525 Portland Ave, Minneapolis, MN, 55415-1533
Phone Number
612-348-9840
Fax Number
612-596-7900
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7497229-00 05 MN
715711042694 01 MN PREFERRED ONE
9G707LI 01 MN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
525 Portland Ave
City
State
Zip
55415-1533
Phone Number
612-348-9840
Fax Number
612-596-7900
person
Provider Business Mailing Address Details
Address
525 Portland Ave
City
State
Zip
55415-1533
Phone Number
612-348-9840
Fax Number
612-596-7900
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R072865-4 (Minnesota)
Definition
Definition to come...
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