Dr. Carmen Gloria Avendano
Pediatrician Emergency Physician Pediatric Emergency Physician
2450 Riverside Ave
Minneapolis
, Minnesota 55454-1450
Dr. Carmen Gloria Avendano
Pediatrician Emergency Physician Pediatric Emergency Physician
2450 Riverside Ave
Minneapolis
, Minnesota 55454-1450
(763) 226-1148
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About
Features
Specialties
- Emergency Physician
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Carmen Gloria Avendano
- 16210 39th Pl N
- Plymouth, MN
- Zip : 55446-1354
- Phone : (763) 226-1148
Second Address
- Dr. Carmen Gloria Avendano
- 2450 Riverside Ave
- Minneapolis, MN
- Zip : 55454-1450
- Phone : (612) 672-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 65450 | MN |
| Y | 207PP0204X | Pediatric Emergency Physician | 65450 | MN |
| N | 208000000X | Pediatrician | 65450 | MN |
National Provider Identifier
| NPI | 1356769996 |
|---|---|
| Provider Name | Dr. Carmen Gloria Avendano |
| First Address | Plymouth, MN 55446-1354 |
| Second Address | Minneapolis, MN 55454-1450 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2014 |
| Last Update Date | 23/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.