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Alexis Rupp Maciej, PNP
Pediatric Nurse Practitioner in Minneapolis, Minnesota
NPI 1902988421

Alexis Rupp Maciej is a Pediatric Nurse Practitioner based in Minneapolis, MN and is specialized in Pediatrics. Alexis Rupp Maciej practices in Minneapolis, MN and has the professional credentials of PNP. The NPI Number for Alexis Rupp Maciej is 1902988421 and holds a License No. R 146818-8 (Minnesota).

The current practice location address for Alexis Rupp Maciej is 2450 Riverside Ave, Minneapolis, MN and can be reached out via phone at 612-672-6000.

Location: 2450 Riverside Ave, Minneapolis, MN, 55455
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Provider Profile Details
NPI Number
1902988421
Provider Name
Alexis Rupp Maciej
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
2450 Riverside Ave, Minneapolis, MN, 55455
Phone Number
612-672-6000
Fax Number
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0599746 05 IA
2393329 01 ARAZ
135386 01 UCARE
41270300 05 WI
B675 01 TRICARE/TRIWEST
1046051 01 PREFERREDONE
12-09026 01 MEDICAID PRIMARY
994940200 05 MN
12-03425 01 MEDICA - CHOICE
4306627 05 MT
HP56959 01 MN HEALTHPARTNERS
631T4MA 01 MN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2450 Riverside Ave
City
State
Zip
55454-1450
Phone Number
612-672-6000
Fax Number
person
Provider Business Mailing Address Details
Address
2450 Riverside Ave
City
State
Zip
55454-1450
Phone Number
612-672-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R 146818-8 (Minnesota)
Definition
Definition to come...
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