NOELLE M MAZE R.N., M.A., C-A.N.P
NPI 1609824465
Nurse Practitioner in Edina, MN

Active since May 04, 2006
8100 W 78TH ST, SUITE 225, EDINA, MN 55439(952) 946-9777(952) 946-9888 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 11, 2021, Mar 2, 2021 (2 updates tracked since 2021).

About Noelle M Maze R.n., M.a., C-a.n.p NPPES

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

NOELLE M MAZE R.N., M.A., C-A.N.P (NPI 1609824465) is an individual nurse practitioner in Edina, Minnesota, licensed in Minnesota (R958958) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1609824465
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNOELLE M MAZECredential: R.N., M.A., C-A.N.P
Location Address8100 W 78TH ST, SUITE 225Edina, MN 55439-2516
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Fax(952) 946-9888
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1609824465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MN · R958958
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.

8100 W 78TH ST, Edina, MN 55439

Other Identifiers 11

Other108042MN · Patient Choice
Other0401120MN · Select Care
Other120003727MN · Wea
Other23798MN · America's Ppo
Other500005086MN · Railroad Medicare
Other116764MN · Ucare
Other1012400MN · Preferred One
Other21R85MAMN · Blue Cross/shield
Medicaid947217700MN
Other0401120MN · Medica
OtherHP19245MN · Healthpartners

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.

Specialist/Technologist (Athletic Trainer)
8100 W 78TH ST, 225
EDINA, MN 55439
Internal Medicine
8100 W 78TH ST
EDINA, MN 55439
Internal Medicine
8100 W 78TH ST
EDINA, MN 55439
Physician Assistant (Surgical)
8100 W 78TH ST, SUITE 225
EDINA, MN 55439
Physician Assistant
8100 W 78TH ST, SUITE 225
EDINA, MN 55439
Specialist/Technologist (Athletic Trainer)
8100 W 78TH ST, SUITE 225
EDINA, MN 55439
Specialist/Technologist (Athletic Trainer)
8100 W 78TH ST, SUITE 225
EDINA, MN 55439
Specialist/Technologist (Athletic Trainer)
8100 W 78TH ST, SUITE 225
EDINA, MN 55439

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609824465, enumerated as an "individual" on May 04, 2006.

The provider is located at 8100 W 78TH ST SUITE 225 EDINA, MN 55439 and the phone number is (952) 946-9777.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare, Blue Cross. Please consult your insurance carrier or call the provider to verify.