Renew Women'S Health PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RENEW WOMEN'S HEALTH PLLC

Practice address

3000 County Road 42 W Ste 208
Burnsville, MN 55337-4826

Phone

(612) 710-5455

NPI assigned

Jul 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emily AndersonNPI 1306254206

Title

Owner

Phone

(612) 710-5455

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Anderson, CNS

  • Gerontology Clinical Nurse Specialist
  • Burnsville, MN
  • NPI 1306254206
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1053149153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COUNTY ROAD 42 W STE 208",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COUNTY ROAD 42 W STE 208",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374826",
            "telephone_number": "612-710-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW WOMEN'S HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-710-5455"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Burnsville, MN
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.