Healthcare Provider Details

I. General information

NPI: 1457255689
Provider Name (Legal Business Name): EMMA HENSLILN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 PLATO BLVD W
SAINT PAUL MN
55107-2004
US

IV. Provider business mailing address

13930 ASHFORD PATH
ROSEMOUNT MN
55068-3923
US

V. Phone/Fax

Practice location:
  • Phone: 507-990-5339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SC1501X
TaxonomyCommunity Health/Public Health Clinical Nurse Specialist
License Number2530837
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: