Blaine, Annika Lee
Blaine, Annika Lee is an sole proprietor health care provider with primary practice located at 1700 University Ave W , Saint Paul MN 55104-3727. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Blaine, Annika Lee can be contacted via phone (612) 232-2002.Contact Information
Primary practice address
1700 University Ave W
Saint Paul MN 55104-3727
Phone: (612) 232-2002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 1991914 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 6070 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 6070 | Minnesota |
Profile Details
| NPI number | 1699253468 |
|---|---|
| LBN Legal business name | Blaine, Annika Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2018 |
| Last updated | Nov 25th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699253468 | NPPES |
| Minnesota | Other | 6070 | CERTIFIED NURSE PRACTITIONER LICENSE |
| Minnesota | Other | 241607 | CERTIFIED NURSE PRACTITIONER LICENSE |
| Minnesota | Other | 1991914 | CERTIFIED NURSE PRACTITIONER LICENSE |
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