Search › Minnesota › 363L00000X
Connie Jaenicke, NP
NPI 1508875063 · on the registry since 2006
Practice
- Address
- 14000 Fairview Dr
Burnsville, MN 55337 - Phone
- (952) 993-8700
- Organisation at this address
- Park Nicollet Methodist Hospital
Park Nicollet Health Care ProductsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 119
Additional practice sites
- 1 Veterans Dr, Minneapolis, MN
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota