Mary Jean Przybylski, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R857253 Issued in MN

Practice address

635 Ivy Ave E
Saint Paul, MN 55130-3422

Phone

(651) 771-2420

Fax

(651) 771-2421

NPI assigned

Dec 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1932403292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 IVY AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551303422",
            "telephone_number": "651-771-2420",
            "fax_number": "651-771-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 IVY AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551303422",
            "telephone_number": "651-771-2420",
            "fax_number": "651-771-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYLSKI",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R857253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.