Livingston, Mylynda S

Livingston, Mylynda S is an individual health care provider with primary practice located at 347 North Smith Avenue Childrens Specialty Clinic Hematology Oncology Stpl, St Paul MN 55102. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Livingston, Mylynda S can be contacted via phone (651) 220-6732.

Contact Information

Primary practice address
347 North Smith Avenue Childrens Specialty Clinic Hematology Oncology Stpl St Paul MN 55102
Phone: (651) 220-6732
Fax: (651) 220-6005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R1465987 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R1465987 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R1465987 Minnesota

Profile Details

NPI number 1285713396
LBN Legal business name Livingston, Mylynda S
Credentials RN CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Sep 19th, 2012 - about 12 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 1285713396 NPPES
Minnesota MEDICAID 433657000

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