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

Individual provider Pediatric Nurse Practitioner · NPI 1902988421

Alexis Rupp Maciej, PNP is a Pediatric Nurse Practitioner in Minneapolis, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 424 Haravard St Se, Suite M100 Masonic Cancet Center, Minneapolis, MN 55455 — (612) 625-5411

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 1138 (MN)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence R 146818-8 (MN)

Record details

NPI number1902988421
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023

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