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MRS. LISA BORDEAUX CNP
NPI 1376586792
Nurse Practitioner in Minneapolis, MN

Active since June 14, 2006
4040 COON RAPIDS BLVD NW, SUITE 120, MINNEAPOLIS, MN 55433(763) 427-9980(763) 427-9908 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa Bordeaux Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA BORDEAUX CNP (NPI 1376586792) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Minnesota (3228) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1376586792
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LISA BORDEAUXCredential: CNP
Location Address4040 COON RAPIDS BLVD NW, SUITE 120Minneapolis, MN 55433-2522
Mailing Address4040 Coon Rapids Blvd Nw, Suite 120Minneapolis, MN 55433-2522 · (763) 427-9980 · Fax (763) 427-9908
Phone(763) 427-9980
Fax(763) 427-9908
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJune 17, 2019
✔ NPI 1376586792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MN · 3228✔ Licensed in MN · R1222515
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4040 COON RAPIDS BLVD NW, Minneapolis, MN 55433
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Other Identifiers 1

Medicaid771170100MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK KRAEMER M.D.
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433
Anoka County (763) 427-9980
DR. MARGO F TOLINS-MEJIA M.D.
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433
Anoka County (763) 427-9980
DR. RANDALL P STARK M.D.
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433
Anoka County (763) 427-9980
RACHEL MARGARET BETHKE AGNP-C
Nurse Practitioner
4040 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 427-9980
DR. BRIAN J ANDERSON M.D.
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433
Anoka County (763) 427-9980
DR. AMIN RAHMATULLAH M.D.
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433
Anoka County (763) 427-9980
DR. CHAD CURTIS OLINGER D.O.
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 427-9980
DR. MARK A EVANS M.D.
Internal Medicine (Cardiovascular Disease)
4040 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433
Anoka County (763) 427-9980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Bordeaux's NPI number?

The NPI number for Lisa Bordeaux is 1376586792. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Lisa Bordeaux located?

Lisa Bordeaux practices at 4040 Coon Rapids Blvd NW Suite 120, Minneapolis, MN 55433. The listed phone number is (763) 427-9980.

What is Lisa Bordeaux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Lisa Bordeaux was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.