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NPI Code Detail

MEDICARE: MICHELLE MARY EUL NP

MEDICARE:   MICHELLE MARY EUL  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WN0002XNeonatal Intensive Care Registered Nurse95052267CA
2163W00000XRegistered Nurse196793-5MN
3363LN0000XNeonatal Nurse PractitionerOMD1-04374274MN
4363LN0005XCritical Care Neonatal Nurse Practitioner5891MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11967935OTHERMNREGISTERED NURSE
295003167OTHERCANURSE PRACTITIONER
3104374274OTHERNATIONAL CERTIFICATION CORPORATION
45891OTHERMNMINNESOTA BOARD OF NURSING

General Provider Information

NPI Number : 1265817860
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MARY EUL NP
Provider Business Mailing Address
First Line : 2808 COLORADO AVE S
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55416-1827
Country : US
Telephone Number : 612-599-1128
Fax Number :
Provider Business Practice Location Address
First Line : 2808 COLORADO AVE S
Second Line :
City : ST LOUIS PARK
State : MN
Zip : 55416-1827
Country : US
Telephone Number : 612-599-1128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2015
Last Update Date : 11/19/2018

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Directions to “ MICHELLE MARY EUL NP” Practice Location

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