Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | R-0927701 | MN |
NPI | 1003877705 |
---|---|
Provider Name | Jeanne Rancone |
First Address | Saint Paul, MN 55107-2226 |
Second Address | Saint Paul, MN 55107-2226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 14/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12-00882 | MEDICA (01) | MN |
53M37RA | BCBS (01) | MN |
770578700 | (05) | MN |
HP26528 | HEALTH PARTNERS (01) | MN |