Doctor Name: | ABRINA K KORMAN |
NPI Number: | 1194981357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R1577846 |
Business Practice Address: | 401 Phalen Blvd Ms 41102d Healthpartners Specialty Center 401 St. Paul, MN - 551305302 |
Business Phone Number: | 6512547670 |
Business Fax Number: | 6512547676 |
Mailing Address: | 8170 33rd Ave S, Ms21110q MINNEAPOLIS |
State: | MN |
Postal Code: | 554254516 |
Phone Number: | 9528835375 |
Fax Number: | 6512547676 |
NPI Enumeration Date: | 08/06/2008 |
NPI Last Update Date: | 04/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | R1577846 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |