Brost-Jipp, Teresa R

Brost-Jipp, Teresa R is an individual health care provider with primary practice located at 3300 Oakdale Ave N , Robbinsdale MN 55422-2926. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Brost-Jipp, Teresa R can be contacted via phone (763) 520-5580.

Contact Information

Primary practice address
3300 Oakdale Ave N Robbinsdale MN 55422-2926
Phone: (763) 520-5580
Fax: (763) 520-1411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R1485679 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X R1485679 Minnesota

Profile Details

NPI number 1265497291
LBN Legal business name Brost-Jipp, Teresa R
Credentials CNNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Feb 13th, 2013 - about 13 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 1265497291 NPPES
Minnesota MEDICAID 288668500

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