Doctor Name: | MS. ROXANNA Y. PLOUFF |
NPI Number: | 1033186143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | R 117770-9 |
Business Practice Address: | 8500 Edinbrook Pkwy Brooklyn Park, MN - 554433720 |
Business Phone Number: | 7634251211 |
Business Fax Number: | 7634256277 |
Mailing Address: | 8500 Edinbrook Pkwy, BROOKLYN PARK |
State: | MN |
Postal Code: | 554433720 |
Phone Number: | 7634251211 |
Fax Number: | 7634256277 |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | R 117770-9 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |