Maria Lourdes Nolasco De Leon, BSN,RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R158384-3 Issued in MN

Practice address

6511 12TH Ave. S
Richfield, MN 55423

Phone

(612) 273-5343

NPI assigned

Apr 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Lourdes Nolasco Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1225425531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 12TH AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231715",
            "telephone_number": "612-701-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 12TH AVE. S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "55423",
            "telephone_number": "612-273-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "MARIA LOURDES",
        "middle_name": "NOLASCO",
        "credential": "BSN,RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R158384-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "NOLASCO",
            "middle_name": "LOURDES",
            "credential": "BSN,RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Davenport
• Julie Kersti Davenport, PHARMD
• Thomas Dennis Davin, M.D.
• Laura L. Davis, R.N.
• Elyas De Backer
• Michael B Debrule, DPM
• Sherri Roller Deem, MS, LPCC
• Lilia Jeanne Degayner
• Savannah Rose Deinhart
• Dental Health Care Center PA

• Registered Nurse in Richfield, MN
• Providers in Richfield, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.