LOIS A KUBITSCHEK


Address: 17 W. Exchange Street, Suite 600, St. Paul, MN 55102
Phone: 6512322550

LOIS A KUBITSCHEK (NPI# 1003900424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003900424
Entity Type Individual
Full Name LOIS A KUBITSCHEK
Credential GNP
Practice Address 17 W. Exchange Street
Suite 600
St. Paul
MN 55102
Practice Telephone 6512322550
Practice Fax Number 6512322551
Mailing Telephone 6512322550
Mailing Fax Number 6512322551
Enumeration Date 2006-10-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
R110940-5 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 17 W. EXCHANGE STREET
SUITE 600
City ST. PAUL
State MN
Zip Code 55102

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1689636615 Stacey M Ehlers-millett Nurse Practitioner 435 Phalen Blvd - Ms 51103b, Healthpartners Specialty Center 435, St. Paul, MN 55130-5302 2006-04-05
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City ST. PAUL
Zip Code 55102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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