Fahey-Bleick, Lisa Eleanor

Fahey-Bleick, Lisa Eleanor is an individual health care provider with primary practice located at 4178 Knob Dr Suite A, Eagan MN 55122-2888. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fahey-Bleick, Lisa Eleanor can be contacted via phone (651) 209-8640.

Contact Information

Primary practice address
4178 Knob Dr Suite A Eagan MN 55122-2888
Phone: (651) 209-8640
Fax: (651) 209-8690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R1205765 Minnesota

Profile Details

NPI number 1710929062
LBN Legal business name Fahey-Bleick, Lisa Eleanor
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 10th, 2009 - about 16 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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