Blackmon, Alexandria Denise

Blackmon, Alexandria Denise is an individual health care provider with primary practice located at University Of Minnesota Physicians 516 Delaware Street Se, Pwb First Floor, Clinic 1E, Minneapolis MN 55455. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Blackmon, Alexandria Denise can be contacted via phone (612) 626-6666.

Contact Information

Primary practice address
University Of Minnesota Physicians 516 Delaware Street Se, Pwb First Floor, Clinic 1E Minneapolis MN 55455
Fax:
Website:

Health care specialties

Profile Details

NPI number 1407892672
LBN Legal business name Blackmon, Alexandria Denise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 17th, 2007 - about 17 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 1407892672 NPPES
Minnesota Other 2386128 ARAZ
Minnesota MEDICAID 0599241 ARAZ
Minnesota MEDICAID 083447500 ARAZ
Minnesota Other 135259 ARAZ
Minnesota MEDICAID 4307035 ARAZ
Minnesota Other HP56036 ARAZ
Minnesota Other 04-07907 ARAZ
Minnesota Other B678 ARAZ

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