Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrative Geriatrics, PLLC

Organization Gerontology Nurse Practitioner · NPI 1932620796

Integrative Geriatrics, PLLC is a Gerontology Nurse Practitioner in Rogers, Minnesota. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21897 S Diamond Lake Rd Ste 400-403
Rogers, MN 55374-4642
Phone: (763) 317-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X

Record details

NPI number1932620796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Ahlstrom — Nurse Pracitioner/Owner · (612) 308-2162
NPI enumeratedJuly 3, 2017
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021
Mailing address21897 S Diamond Lake Rd Ste 400-403, Rogers, MN 55374-4642

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