1659542835 NPI number — ANNA MARIA NAPIWOCKI CPNP

Table of content: ANNA MARIA NAPIWOCKI CPNP (NPI 1659542835)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659542835 NPI number — ANNA MARIA NAPIWOCKI CPNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NAPIWOCKI
Provider First Name:
ANNA
Provider Middle Name:
MARIA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CPNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659542835
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2910 CENTRE POINTE DRIVE, 35-121A
Provider Second Line Business Mailing Address:
CHILDREN'S HEALTH CARE
Provider Business Mailing Address City Name:
ROSEVILLE
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55113-1182
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
651-855-2327
Provider Business Mailing Address Fax Number:
651-855-2310

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
345 NORTH SMITH AVENUE
Provider Second Line Business Practice Location Address:
CHILDREN'S HEALTH CARE
Provider Business Practice Location Address City Name:
ST. PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55102-2346
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-220-6000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/17/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  R1833496 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0200X , with the licence number: R1833496 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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