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General NPI Number Information
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NPI Number | 1386458131
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Entity Type | Individual
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Provider Name | ERIKA MUELLNER CNP
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 11850 BLACKFOOT ST NW STE 100
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City | COON RAPIDS
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State | MN
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Zip | 55433-2774
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Country | US
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Telephone | 763-712-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 5190 202ND ST N
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City | FOREST LAKE
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State | MN
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Zip | 55025-2835
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Country | US
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Telephone | 507-828-0664
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12479
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License Number State | MN
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