MEDICARE: ERIN P EMERY CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	UNKNOWN	MN

General Provider Information

NPI Number	:	1255595195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN P EMERY CNP

Provider Business Mailing Address
First Line	:	720 WASHINGTON AVE SE
Second Line	:	SUITE 200
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55414-2924
Country	:	US
Telephone Number	:	612-730-1345
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 WASHINGTON AVE SE
Second Line	:	SUITE 200
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55414-2924
Country	:	US
Telephone Number	:	612-730-1345
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	03/20/2025

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