Rask, Darrell R

Rask, Darrell R is an individual health care provider with primary practice located at 347 Smith Ave N , Saint Paul MN 55102-2387. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Rask, Darrell R can be contacted via phone (651) 220-6818.

Contact Information

Primary practice address
347 Smith Ave N Saint Paul MN 55102-2387
Phone: (651) 220-6818
Fax: (651) 220-6064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R074428-5 Minnesota

Profile Details

NPI number 1033101134
LBN Legal business name Rask, Darrell R
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Aug 23rd, 2012 - 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 1033101134 NPPES
Minnesota MEDICAID 933403300

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