Provider Demographics
NPI:1659052934
Name:BATISTA DE OLIVEIRA, LAURA LOUISE (RN)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LOUISE
Last Name:BATISTA DE OLIVEIRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:LOUISE
Other - Last Name:HELLMUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10637 VESSEY RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-2720
Mailing Address - Country:US
Mailing Address - Phone:970-368-0735
Mailing Address - Fax:
Practice Address - Street 1:M HEALTH FAIRVIEW RIDGES
Practice Address - Street 2:201 EAST NICOLLET BLVD
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337
Practice Address - Country:US
Practice Address - Phone:952-892-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNRN2499879163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse