1780951103 NPI number — MS. HELEN MARGARET KNOX R.N.

Table of content: MS. HELEN MARGARET KNOX R.N. (NPI 1780951103)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780951103 NPI number — MS. HELEN MARGARET KNOX R.N.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KNOX
Provider First Name:
HELEN
Provider Middle Name:
MARGARET
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
R.N.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KNOX-RODRIGUEZ
Provider Other First Name:
HELEN
Provider Other Middle Name:
MARGARET
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1780951103
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/30/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1385 SHELDON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT PAUL
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55108-2410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
651-646-6250
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HENNEPIN COUNTY GOVERNMENT CENTER A14
Provider Second Line Business Practice Location Address:
300 SO 6TH ST
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55487-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-348-0234
Provider Business Practice Location Address Fax Number:
612-677-6248
Provider Enumeration Date:
11/30/2011

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: 163WP0809X , with the licence number:  R-98894-4 , 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)