Trixy M. Headden
Nurse Practitioner - Gerontology
9900 Bren Rd E
Minnetonka
, Minnesota 55343-9664
Trixy M. Headden
Nurse Practitioner - Gerontology
9900 Bren Rd E
Minnetonka
, Minnesota 55343-9664
(919) 422-5423
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Trixy M. Headden
- 210 Emerald Crest Ct
- Youngsville, NC
- Zip : 27596-7918
- Phone : (919) 422-5423
Second Address
- Trixy M. Headden
- 9900 Bren Rd E
- Minnetonka, MN
- Zip : 55343-9664
- Phone : (919) 309-6640
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Is Trixy M. Headden a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 5010607 | NC |
National Provider Identifier
| NPI | 1023502911 |
|---|---|
| Provider Name | Trixy M. Headden |
| First Address | Youngsville, NC 27596-7918 |
| Second Address | Minnetonka, MN 55343-9664 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2018 |
| Last Update Date | 26/06/2020 |
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.