Healthcare Provider Details

I. General information

NPI: 1376458273
Provider Name (Legal Business Name): EMILY THERESE HAUGLAND DNP, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 LILAC DR N STE 140
GOLDEN VALLEY MN
55422-4791
US

IV. Provider business mailing address

23520 SUNRISE RD NE
STACY MN
55079-9712
US

V. Phone/Fax

Practice location:
  • Phone: 763-465-0500
  • Fax: 763-465-0588
Mailing address:
  • Phone: 952-913-3921
  • Fax: 952-913-3921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13443
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: