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INTEGRATIVE GERIATRICS, PLLC
NPI 1932620796
Nurse Practitioner - Gerontology in Rogers, MN

Active since July 03, 2017
21897 S DIAMOND LAKE RD STE 400-403, ROGERS, MN 55374(763) 317-1122 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrative Geriatrics, Pllc NPPES

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

INTEGRATIVE GERIATRICS, PLLC (NPI 1932620796) is a healthcare organization registered as a gerontology in Rogers, Minnesota and active in the NPI registry since July 2017. The organization lists Rebecca Ahlstrom, Nurse Pracitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1932620796
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameINTEGRATIVE GERIATRICS, PLLC
Location Address21897 S DIAMOND LAKE RD STE 400-403Rogers, MN 55374-4642
Mailing Address21897 S Diamond Lake Rd Ste 400-403Rogers, MN 55374-4642 · (763) 317-1122
Phone(763) 317-1122
Organization SubpartNo
Authorized OfficialRebecca AhlstromNurse Pracitioner/owner · (612) 308-2162
Enumeration DateJuly 3, 2017
Last NPPES UpdateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1932620796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
21897 S DIAMOND LAKE RD STE 400-403, Rogers, MN 55374
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

REBECCA ANN AHLSTROM APRN, CNP
Nurse Practitioner (Gerontology)
21897 S DIAMOND LAKE RD STE 400-403
ROGERS, MN 55374
Hennepin County (763) 317-1122

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 Integrative Geriatrics, PLLC's NPI number?

The NPI number for Integrative Geriatrics, PLLC is 1932620796. It was assigned to this organization in the NPPES registry on July 3, 2017.

Where is Integrative Geriatrics, PLLC located?

Integrative Geriatrics, PLLC is located at 21897 S Diamond Lake Rd Ste 400-403, Rogers, MN 55374. The listed phone number is (763) 317-1122.

What is Integrative Geriatrics, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Integrative Geriatrics, PLLC was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.