Active NPIIndividual provider

Tara Liljestrand, NP

Nurse Practitioner, Adult Health in Minnetonka, Minnesota

NPI Number1902189418
Practice location
9900 Bren RD E, Minnetonka, MN 55343-9664
Fax
—
Last updated
December 2, 2021

Tara Liljestrand is a Nurse Practitioner, Adult Health based in Minnetonka, MN. Tara Liljestrand practices in Minnetonka, MN and has the professional credentials of NP. The NPI Number for Tara Liljestrand is 1902189418 and holds a License No. 085152-23 (NH). The current practice location address for Tara Liljestrand is 9900 Bren RD E, Minnetonka, MN 55343-9664 and can be reached out via phone at 413-372-2850.

Provider Profile Details

NPI Number
1902189418
Provider Name
Tara Liljestrand
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
9900 Bren RD E, Minnetonka, MN 55343-9664
Phone Number
413-372-2850
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
September 21, 2011
Last Update Date
December 2, 2021
Certification Date
December 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
9900 Bren RD E
Minnetonka, MN 55343-9664
Zip
55343-9664
Phone Number
413-372-2850
Minnetonka, MN 55343Get directions →

Provider Business Mailing Address Details

Address
1585 Cherry Valley RD
Bethlehem, NH 03574-4438
City
Bethlehem
State
NH
Zip
03574-4438

License Information

License Number (1)
085152-23
License State (1)
NH
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X · Primary
License Number (2)
RN2263050
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (3)
085152-23
License State (3)
NH
Taxonomy (3)
Nurse Practitioner, Gerontology · 363LG0600X
License Number (4)
RN2263050
License State (4)
MA
Taxonomy (4)
Nurse Practitioner, Gerontology · 363LG0600X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tara Liljestrand, NP?

The NPI number of Tara Liljestrand, NP is 1902189418. It was assigned on September 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Tara Liljestrand, NP?

Tara Liljestrand, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NH under license number 085152-23.

Where does Tara Liljestrand, NP practice?

The practice location is 9900 Bren RD E, Minnetonka, MN 55343-9664. The office can be reached at 413-372-2850 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902189418 directly on the NPPES registry website.

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