Provider Demographics
NPI:1497181507
Name:MEHRAN-REZAII, LINDSEY ANN (NP)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:ANN
Last Name:MEHRAN-REZAII
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:8101 34TH AVE S
Mailing Address - Street 2:MS26602G
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1692
Mailing Address - Country:US
Mailing Address - Phone:952-883-6805
Mailing Address - Fax:952-883-6117
Practice Address - Street 1:8101 34TH AVE S
Practice Address - Street 2:MS26602G
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1692
Practice Address - Country:US
Practice Address - Phone:952-883-6805
Practice Address - Fax:952-883-6117
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN2013016618363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health