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NPI Code Detail

MEDICARE: MS. MICHELLE LYNN MYERS APRN, DNP

MEDICARE: MS. MICHELLE LYNN MYERS APRN, DNP
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
1363L00000XNurse Practitioner7762MN
2363LF0000XFamily Nurse Practitioner7762MN

General Provider Information

NPI Number : 1649876319
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE LYNN MYERS APRN, DNP
Provider Business Mailing Address
First Line : 701 PARK AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55415-1623
Country : US
Telephone Number : 612-873-3000
Fax Number : 612-873-1600
Provider Business Practice Location Address
First Line : 715 S 8TH ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-7530
Country : US
Telephone Number : 612-873-3000
Fax Number : 612-873-1600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2020
Last Update Date : 01/27/2026

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