1669590485 NPI number — DR. MAREN SCHIESS RINKER RN, CNP

Table of content: DR. MAREN SCHIESS RINKER RN, CNP (NPI 1669590485)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669590485 NPI number — DR. MAREN SCHIESS RINKER RN, CNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RINKER
Provider First Name:
MAREN
Provider Middle Name:
SCHIESS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
RN, CNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHIESS
Provider Other First Name:
MAREN
Provider Other Middle Name:
TUTHILL
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN, CNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1669590485
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6101 W OLD SHAKOPEE RD UNIT 385008
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLOOMINGTON
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55438-2720
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
612-443-7301
Provider Business Mailing Address Fax Number:
952-351-9392

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 E TRAVELERS TRL
Provider Second Line Business Practice Location Address:
#225
Provider Business Practice Location Address City Name:
BURNSVILLE
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55337-4097
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-443-7301
Provider Business Practice Location Address Fax Number:
952-351-9392
Provider Enumeration Date:
03/27/2007

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: 363LP0808X , with the licence number:  209006512 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0808X , with the licence number: R 196593-7 , 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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