Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | R123073-0 | MN |
NPI | 1144280074 |
---|---|
Provider Name | Rachel L Hovland |
First Address | Minneapolis, MN 55440-0043 |
Second Address | Coon Rapids, MN 55433-2522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 08/07/2007 |