Macgillivray, Patricia

Macgillivray, Patricia is an individual health care provider with primary practice located at 2525 Chicago Ave 2525 Chicago Avenue South, Minneapolis MN 55404-4518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Macgillivray, Patricia can be contacted via phone (612) 813-6107.

Contact Information

Primary practice address
2525 Chicago Ave 2525 Chicago Avenue South Minneapolis MN 55404-4518
Phone: (612) 813-6107
Fax: (651) 855-2310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R077250-3 Minnesota

Profile Details

NPI number 1417949512
LBN Legal business name Macgillivray, Patricia
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jan 26th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417949512 NPPES
Minnesota MEDICAID 002218700

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