MS. DIANE JEANNETTE WAARVIK


Address: 2414 Park Ave, Minneapolis, MN 55404-3713
Phone: 6128798730

MS. DIANE JEANNETTE WAARVIK (NPI# 1598961351) 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) 1598961351
Entity Type Individual
Full Name MS. DIANE JEANNETTE WAARVIK
Credential MSN, PNP
Practice Address 2414 Park Ave
Minneapolis
MN 55404-3713
Mailing Address 5120 Queen Ave S
Minneapolis
MN 55410-2217
Practice Telephone 6128798730
Mailing Telephone 6129221846
Mailing Fax Number 6129281992
Enumeration Date 2007-06-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R063064-5 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2414 PARK AVE
City MINNEAPOLIS
State MN
Zip Code 55404-3713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346336302 Kevin Patrick Walsh Counselor 2414 Park Ave, Minneapolis, MN 55404-3713 2006-10-05
1508910530 Angela Kathleen Krebs Counselor 2414 Park Ave, Minneapolis, MN 55404-3713 2007-01-23
1275609927 Debra Jane Schloer Social Worker 2414 Park Ave, Minneapolis, MN 55404-3713 2006-11-27
1942375910 Joseph S. Duncan Social Worker 2414 Park Ave, Minneapolis, MN 55404-3713 2006-11-22
1942372081 Donna Rae Mayotte Counselor 2414 Park Ave, Minneapolis, MN 55404-3713 2006-11-14
1598844078 Ann N Stone Psychologist 2414 Park Ave, Minneapolis, MN 55404-3713 2006-11-03
1760572317 Randal Richard Staats Psychologist 2414 Park Ave, Minneapolis, MN 55404-3713 2006-10-13
1407945264 Doris Joanne Bailey Psychologist 2414 Park Ave, Minneapolis, MN 55404-3713 2006-10-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568062461 Andrew Moe Counselor 2118 Blaisdell Ave S., Minneapolis, MN 55404 2020-10-29
1194368191 Luz Angelica Fehn Salinas Psychologist 1315 E24th St, Minneapolis, MN 55404 2019-10-22
1760969125 Bethany Karen Kenny Registered Nurse 910 E 26th St Ste 200, Minneapolis, MN 55404 2018-07-27
1225535701 Karissa Dougherty Nurse Practitioner 2200 E Franklin Ave # 199, Minneapolis, MN 55404 2018-04-10
1891299491 Guidance Home Health Care LLC Home Health 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 2018-03-20
1770085490 Bright Future Counseling Service, LLC Counselor 912 E. 24th St., Suite B215, Minneapolis, MN 55404 2018-03-08
1346754298 Juba Pharmacy Inc Pharmacy 1926 Chicago Ave S, Minneapolis, MN 55404 2017-11-29
1629597323 Kira Larson Fieldstrom Social Worker 2400 Blaisdell Ave., Minneapolis, MN 55404 2017-09-13
1770008930 Nicole Lynn Sparks Social Worker 2445 Park Avenue, Minneapolis, MN 55404 2017-08-09
1639612765 Cosmo Home Healthcare Services, L.L.C. Home Health 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 2016-11-21
Find all providers in zip 55404

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720407497 Halley Gail Sage Nurse Practitioner 2525 Chicago Ave S., Minneapolis, MN 55404 2014-04-10
1457509523 Rebecca Olson Nurse Practitioner 2525 Chicago Avenue, Minneapolis, MN 55404-4518 2008-09-03
1912108341 Nancy Novakoske Hoogenhous Nurse Practitioner 200 Oak St Se, Ste 160, Minneapolis, MN 55455-2009 2007-05-31
1902988421 Alexis Maciej Nurse Practitioner 424 Haravard St Se, Suite M100 Masonic Cancet Center, University of Minnesota Physicians, Minneapolis, MN 55455 2006-10-20
1669568176 Jill Lunsford Lee Nurse Practitioner 420 Delaware St., Mmc 484, Minneapolis, MN 55455 2006-10-04
1477561991 Mary Jordan Nurse Practitioner 2001 Bloomington Avenue S, Community-university Health Care Center, Minneapolis, MN 55404-3074 2006-08-03
1457327686 Judith A Kralewski Nurse Practitioner 250 S 4th St, Room 510, Minneapolis, MN 55415-1335 2006-02-27
1689644908 Tambra R Dahlheimer Nurse Practitioner 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 2006-01-26
1881207462 Brianna Marie Gloe Nurse Practitioner 2530 Chicago Ave Ste 550, Minneapolis, MN 55404-4293 2020-08-25
1447861067 Charlotte Minnema Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-08-17
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55404

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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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