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General NPI Number Information
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NPI Number | 1306101357
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Entity Type | Individual
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Provider Name | ERICA LOUISE ZIELIN WURM PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 5500 94TH AVE N FL 1
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1992
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Country | US
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Telephone | 763-762-6800
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Fax | 763-315-6673
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Provider Business Mailing Address
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Address Line | 9400 ZANE AVE N
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-1814
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Country | US
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Telephone | 763-763-8800
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Fax | 763-315-4669
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2974
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License Number State | MN
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