Kacy Berquist
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
420 Delaware St Se Mmc 480
Minneapolis
, Minnesota 55455-0341
Kacy Berquist
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
420 Delaware St Se Mmc 480
Minneapolis
, Minnesota 55455-0341
(612) 625-6919
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Kacy Berquist
- 420 Delaware St Se Mmc 480
- Minneapolis, MN
- Zip : 55455-0341
- Fax : (612) 625-6919
- Phone : (612) 624-0123
Second Address
- Kacy Berquist
- 420 Delaware St Se Mmc 480
- Minneapolis, MN
- Zip : 55455-0341
- Fax : (612) 625-6919
- Phone : (612) 624-0123
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | CNP 4379 | MN |
| N | 363LG0600X | Nurse Practitioner - Gerontology | CNP 4379 | MN |
National Provider Identifier
| NPI | 1033577036 |
|---|---|
| Provider Name | Kacy Berquist |
| First Address | Minneapolis, MN 55455-0341 |
| Second Address | Minneapolis, MN 55455-0341 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/02/2016 |
| Last Update Date | 04/02/2016 |
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.