Opal, Patricia A

Opal, Patricia A is an individual health care provider with primary practice located at 8101 34Th Avenue South Ms 26602G, Minneapolis MN 55425-4516. 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. Opal, Patricia A can be contacted via phone (952) 883-6805.

Contact Information

Primary practice address
8101 34Th Avenue South Ms 26602G Minneapolis MN 55425-4516
Phone: (952) 883-6805
Fax: (952) 883-6117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R1372740 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0847 Minnesota

Profile Details

NPI number 1619942281
LBN Legal business name Opal, Patricia A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Nov 10th, 2020 - about 4 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 1619942281 NPPES
Minnesota MEDICAID 307148100

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