Pivotto Kroening, Lisa

Pivotto Kroening, Lisa is an sole proprietor health care provider with primary practice located at 18315 Cascade Dr Ste 170, Eden Prairie MN 55347-1180. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Pivotto Kroening, Lisa can be contacted via phone (952) 831-1944.

Contact Information

Primary practice address
18315 Cascade Dr Ste 170 Eden Prairie MN 55347-1180
Phone: (952) 831-1944
Fax: (952) 278-6947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R111593 Minnesota

Profile Details

NPI number 1821173956
LBN Legal business name Pivotto Kroening, Lisa
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1821173956 NPPES
Minnesota Other FP9021013319 PREFERRED ONE
Minnesota Other 1200184 PREFERRED ONE
Minnesota Other 9G994KR PREFERRED ONE

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