Healthcare Provider Details

I. General information

NPI: 1952752941
Provider Name (Legal Business Name): ERIKA KAY BURGGRAFF APRN, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIKA KAY WEISENBERGER APRN, DNP

II. Dates (important events)

Enumeration Date: 06/30/2016
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ST CLOUD HOSPITAL 1406 6TH AVE N
ST CLOUD MN
56303-1901
US

IV. Provider business mailing address

ST CLOUD HOSPITAL 1406 6TH AVE N
ST CLOUD MN
56303-1901
US

V. Phone/Fax

Practice location:
  • Phone: 320-251-2700
  • Fax: 320-656-7115
Mailing address:
  • Phone: 320-251-2700
  • Fax: 320-656-7115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR1685149
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP4598
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: