Basic Information
Provider Information
NPI: 1780651620
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOPES
FirstName: VALOR
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8170 33RD AVE S
Address2:  
City: MINNEAPOLIS
State: MN
PostalCode: 554254516
CountryCode: US
TelephoneNumber: 7635874200
FaxNumber: 7635874205
Practice Location
Address1: 601 JACOB LN
Address2:  
City: ANOKA
State: MN
PostalCode: 553031776
CountryCode: US
TelephoneNumber: 7635874200
FaxNumber: 7635874205
Other Information
ProviderEnumerationDate: 02/28/2006
LastUpdateDate: 01/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X  N Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
367A00000XCMN 0325MNY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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