Maze, Noelle M
Maze, Noelle M is an individual health care provider with primary practice located at 8100 W 78Th St Suite 225, Edina MN 55439-2516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Maze, Noelle M can be contacted via phone (952) 946-9777.Contact Information
Primary practice address
8100 W 78Th St Suite 225
Edina MN 55439-2516
Phone: (952) 946-9777
Fax: (952) 946-9888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R958958 | Minnesota |
Profile Details
| NPI number | 1609824465 |
|---|---|
| LBN Legal business name | Maze, Noelle M |
| Credentials | R.N., M.A., C-A.N.P |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Mar 11th, 2021 - about 5 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 | 1609824465 | NPPES |
| Minnesota | Other | 1012400 | PREFERRED ONE |
| Minnesota | Other | 120003727 | PREFERRED ONE |
| Minnesota | Other | 21R85MA | PREFERRED ONE |
| Minnesota | Other | 0401120 | PREFERRED ONE |
| Minnesota | Other | 116764 | PREFERRED ONE |
| Minnesota | Other | 500005086 | PREFERRED ONE |
| Minnesota | Other | HP19245 | PREFERRED ONE |
| Minnesota | Other | 23798 | PREFERRED ONE |
| Minnesota | Other | 0401120 | PREFERRED ONE |
| Minnesota | Other | 108042 | PREFERRED ONE |
| Minnesota | MEDICAID | 947217700 | PREFERRED ONE |
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