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Contact Information

ALEXANDRIA D BLACKMON, NP
UNIVERSITY OF MINNESOTA PHYSICIANS
516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1E
MINNEAPOLIS, MN55455
 Phone: 612-626-6666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ALEXANDRIA D BLACKMON · (Female)

NPI Number 1407892672
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 06/22/2006
Last updated 08/17/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # R 146110-1
  • IA Medicaid 0599241
  • MN Medicaid 083447500
  • MT Medicaid 4307035
  • MN Other 2386128 ARAZ
  • MN Other B678 CHAMPUS/TRIWEST
  • MN Other HP56036 HEALTHPARTNERS
  • MN Other 04-07907 MEDICA CHOICE & PRIMARY
  • MN Other 135259 UCARE
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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