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Contact Information

ANNIKA L BLAINE
1700 UNIVERSITY AVE W
SAINT PAUL, MN55104-3727
 Phone: 612-232-2002
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ANNIKA L BLAINE · (Female)

NPI # 1699253468
Status Active
Credentials
Entity Individual
Enumeration date 08/02/2018
Last updated 11/25/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1991914
  • MN License # 6070
  • MN Other 6070 CERTIFIED NURSE PRACTITIONER LICENSE
  • MN Other 1991914 RN LICENSE
  • WI Other 241607 RN LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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