ELI SEDO


Address: 1440 Spartan Ave, Albert Lea, MN 56007-1328
Phone: 7012137123

ELI SEDO (NPI# 1912566530) 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) 1912566530
Entity Type Individual
Full Name ELI SEDO
Practice Address 1440 Spartan Ave
Albert Lea
MN 56007-1328
Practice Telephone 7012137123
Mailing Telephone 7012137123
Enumeration Date 2019-06-07
Last Update Date 2019-06-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
2455792 MN Nursing Service Providers
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
2455792 MN Nursing Service Providers
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
2455792 MN Nursing Service Providers

Office Location

Street Address 1440 SPARTAN AVE
City ALBERT LEA
State MN
Zip Code 56007-1328

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1841596384 Elizabeth Jordan Berg Chiropractor 72599 220th St, Albert Lea, MN 56007 2011-02-01
1235453606 Michael Aaron Starner Physician Assistant 404 W Fountain St Unit 516, Albert Lea, MN 56007 2010-03-15
1215149364 John M Enger, Professional Association Podiatrist 904 E Plaza Street, Albert Lea, MN 56007 2007-05-03
1760532485 Lowell Wherry Barr Pediatrics 203 W Clark, Albert Lea, MN 56007 2007-01-12
1073688917 Wendy Elizabeth Walker Psychologist 117 South Newton Avenue, Albert Lea, MN 56007 2006-11-22
1487739090 Rem Woodvale Inc Intermediate Care Facility, Mentally Retarded 1204 Plainview Lane, Albert Lea, MN 56007 2006-10-25
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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073095063 Taylor Ohotto Registered Nurse 644 Willoughby Way W, Hopkins, MN 55305-5352 2018-09-05
1043650534 William Clare Cebulla Registered Nurse 29538 Olinda Trl, Lindstrom, MN 55045-9440 2013-06-27
1851638159 Mary Kay Borgstrom Registered Nurse 905 Forest Ave E Ste 150, Mora, MN 55051-1632 2013-01-08
1780951103 Helen Margaret Knox Registered Nurse Hennepin County Government Center A14, 300 So 6th St, Minneapolis, MN 55487-0001 2011-11-30
1023229085 Patricia K. Cretilli Registered Nurse 5430 Edgewater Blvd, Minneapolis, MN 55417-2604 2007-05-24
1093862732 April Leta Wolfson Registered Nurse 327 Marschall Rd # 350, Shakopee, MN 55379-1687 2007-01-04
1992716245 Cheryl A. Covert Registered Nurse 1044 Saint Johns Bay, Woodbury, MN 55129-8537 2006-08-11
1730164567 Kathleen J Lietzau Registered Nurse 6950 146th St W, Suite 100, Apple Valley, MN 55124-4513 2005-12-14
1760956668 Kathleen Elizabeth Pengelly Registered Nurse 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 2019-01-15
1255777322 Sandra Jean Shadley Registered Nurse 225 Sherburne St N, Stillwater, MN 55082-4726 2013-05-16
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Competitor

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City ALBERT LEA
Zip Code 56007

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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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