Provider Demographics
NPI:1275073181
Name:YELLOW CORIANDER, PSC
Entity Type:Organization
Organization Name:YELLOW CORIANDER, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGLEA
Authorized Official - Middle Name:MAUREEN
Authorized Official - Last Name:FRANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-592-6117
Mailing Address - Street 1:60 SOUTH 6TH STREET
Mailing Address - Street 2:SUITE 2800
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402
Mailing Address - Country:US
Mailing Address - Phone:888-598-6117
Mailing Address - Fax:612-423-4526
Practice Address - Street 1:60 SOUTH 6TH STREET
Practice Address - Street 2:SUITE 2800
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402
Practice Address - Country:US
Practice Address - Phone:888-598-6104
Practice Address - Fax:612-423-4526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0390363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty