Plouff, Roxanna Y.

Plouff, Roxanna Y. is an individual health care provider with primary practice located at 8500 Edinbrook Pkwy , Brooklyn Park MN 55443-3720. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Plouff, Roxanna Y. can be contacted via phone (763) 425-1211.

Contact Information

Primary practice address
8500 Edinbrook Pkwy Brooklyn Park MN 55443-3720
Phone: (763) 425-1211
Fax: (763) 425-6277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R 117770-9 Minnesota

Profile Details

NPI number 1033186143
LBN Legal business name Plouff, Roxanna Y.
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Sep 22nd, 2011 - about 15 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 1033186143 NPPES
Minnesota MEDICAID 715721500

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