Addison, Adriana

Addison, Adriana is an individual health care provider with primary practice located at 100 Evergreen Sq Sw , Pine City MN 55063-2000. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Addison, Adriana can be contacted via phone (320) 629-6721.

Contact Information

Primary practice address
100 Evergreen Sq Sw Pine City MN 55063-2000
Phone: (320) 629-6721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 160486-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3647 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3164 Minnesota

Profile Details

NPI number 1902053952
LBN Legal business name Addison, Adriana
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2008
Last updated Jan 22nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902053952 NPPES
Wisconsin MEDICAID 190205392
Wisconsin MEDICAID 190205392

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