Basic Information
Provider Information
NPI: 1518253624
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BATOVSKY
FirstName: ANDREW
MiddleName: THOMAS
NamePrefix: MR.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
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OtherMiddleName:  
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OtherCredential:  
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Mailing Information
Address1: 900 S. 8TH ST. SUITE 110 SHAPIRO BLDG.
Address2: HENNEPIN COUNTY MEDICAL CENTER
City: MINNEAPOLIS
State: MN
PostalCode: 55404
CountryCode: US
TelephoneNumber: 6123472218
FaxNumber: 6123731859
Practice Location
Address1: 701 PARK AVE
Address2: HENNEPIN COUNTY MEDICAL CENTER
City: MINNEAPOLIS
State: MN
PostalCode: 55415
CountryCode: US
TelephoneNumber: 6123472218
FaxNumber: 6123731859
Other Information
ProviderEnumerationDate: 06/27/2011
LastUpdateDate: 04/12/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808X401386NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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