Cretilli, Patricia K.
Cretilli, Patricia K. is an sole proprietor health care provider with primary practice located at 5430 Edgewater Blvd , Minneapolis MN 55417-2604. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Cretilli, Patricia K. can be contacted via phone (612) 822-2714.Contact Information
Primary practice address
5430 Edgewater Blvd
Minneapolis MN 55417-2604
Phone: (612) 822-2714
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | R 078381 9 | Minnesota |
Profile Details
| NPI number | 1023229085 |
|---|---|
| LBN Legal business name | Cretilli, Patricia K. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023229085 | NPPES |
| Minnesota | Other | 77D30CR | BLUE CROSS BLUE SHIELD |
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