Taival, Lynn M
Taival, Lynn M is an individual health care provider with primary practice located at 347 North Smith Avenue Childrens Specialty Clinic Nicu Follow Up Clinic, St Paul MN 55102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Taival, Lynn M can be contacted via phone (651) 220-8063.Contact Information
Primary practice address
347 North Smith Avenue Childrens Specialty Clinic Nicu Follow Up Clinic
St Paul MN 55102
Phone: (651) 220-8063
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R1371262 | Minnesota |
Profile Details
| NPI number | 1114988664 |
|---|---|
| LBN Legal business name | Taival, Lynn M |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Sep 6th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114988664 | NPPES |
| Minnesota | MEDICAID | 221927100 |
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