Liv-on Family Care Center, PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2014035499 Issued in MN

Legal business name

LIV-ON FAMILY CARE CENTER, PA

Practice address

5 County Road B E Ste 3
Saint Paul, MN 55117-1945

Phone

(651) 207-8372

Fax

(651) 379-4727

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Florence Fon, APRN-FNP-BC

Title

Owner/Provider

Phone

(651) 666-0915

Specialties & licenses 1

Addresses

Other names 1

• Liv-On Family Care Center Doing business as

Locations

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1710403118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COUNTY ROAD B E STE 3",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551171945",
            "telephone_number": "651-207-8372",
            "fax_number": "651-379-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COUNTY ROAD B E STE 3",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551171945",
            "telephone_number": "651-207-8372",
            "fax_number": "651-379-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIV-ON FAMILY CARE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "FON",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "651-666-0915",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2014035499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liv-On Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.