NPI 1013140805
817 Marshall Ave
Practice location
- Address
- 817 Marshall Ave, Saint Paul, MN 55104-6651
- Phone
- (763) 202-8808
- Fax
- (651) 291-2739
Authorised official
- Name
- Channa Roxanne Pittman
- Title
- Privte Duty Nurse
- Phone
- (763) 202-8808
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1013140805
- Entity type
- Organization
- NPI issued
- 27 Aug 2009
- Record last updated
- 27 Aug 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.