Eddy, Victoria A

Eddy, Victoria A is an individual health care provider with primary practice located at 401 Phalen Blvd Mc 41103F, Saint Paul MN 55130-5302. 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. Eddy, Victoria A can be contacted via phone (651) 254-7600.

Contact Information

Primary practice address
401 Phalen Blvd Mc 41103F Saint Paul MN 55130-5302
Phone: (651) 254-7600
Fax: (651) 254-7623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0711098 Minnesota

Profile Details

NPI number 1265404420
LBN Legal business name Eddy, Victoria A
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 19th, 2011 - 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 1265404420 NPPES
Minnesota MEDICAID 636719400

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