Rupert, Lisa Mae

Rupert, Lisa Mae is an individual health care provider with primary practice located at 8170 33Rd Ave S Ms 21110Q Healthpartners Floating Clinic C/O Physician Services, Minneapolis MN 55440-1309. 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. Rupert, Lisa Mae can be contacted via phone (952) 883-5375.

Contact Information

Primary practice address
8170 33Rd Ave S Ms 21110Q Healthpartners Floating Clinic C/O Physician Services Minneapolis MN 55440-1309
Phone: (952) 883-5375
Fax: (952) 883-5395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R165885-9 Minnesota

Profile Details

NPI number 1871595421
LBN Legal business name Rupert, Lisa Mae
Credentials MSN FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Dec 5th, 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 1871595421 NPPES
Minnesota MEDICAID 51915560

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