Provider Demographics
NPI:1821045998
Name:PAURUS, JEAN E (CNP)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:E
Last Name:PAURUS
Suffix:
Gender:F
Credentials:CNP
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-702-5305
Practice Address - Street 1:8450 SEASONS PKWY
Practice Address - Street 2:HEALTHPARTNERS WOODBURY URGENT CARE
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-4402
Practice Address - Country:US
Practice Address - Phone:952-853-8800
Practice Address - Fax:651-702-5305
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2011-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN2005005658363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN01-21532OtherMEDICA
MN096626600Medicaid
MN700G4PAOtherBLUE CROSS BLUE SHIELD
MNQ51587Medicare UPIN
MN500004132Medicare UPIN
MN096626600Medicaid
MN500003134Medicare Oscar/Certification