Ms. Tina Marie Allenburg
Nurse Practitioner
3300 Oakdale Ave N Suite 200
Minneapolis
, Minnesota 55422-2926
Ms. Tina Marie Allenburg
Nurse Practitioner
3300 Oakdale Ave N Suite 200
Minneapolis
, Minnesota 55422-2926
(612) 396-0553
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Ms. Tina Marie Allenburg
- 4905 W 66th Street
- Edina, MN
- Zip : 55435
- Phone : (612) 396-0553
Second Address
- Ms. Tina Marie Allenburg
- 3300 Oakdale Ave N Suite 200
- Minneapolis, MN
- Zip : 55422-2926
- Fax : (763) 520-2099
- Phone : (763) 520-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R119816-0 | MN |
National Provider Identifier
| NPI | 1013028281 |
|---|---|
| Provider Name | Ms. Tina Marie Allenburg |
| First Address | Edina, MN 55435 |
| Second Address | Minneapolis, MN 55422-2926 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 10/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3054977-00 | (05) | MN |
| 43995700 | (05) | WI |
| P25032 | (02) |
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.