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NPI Code Detail

MEDICARE: MS. ELIZABETH JANE MERKLE CNS APRN

MEDICARE: MS. ELIZABETH JANE MERKLE CNS APRN
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
1364SA2200XAdult Health Clinical Nurse Specialist141123-2MN

General Provider Information

NPI Number : 1770766651
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH JANE MERKLE CNS APRN
Provider Business Mailing Address
First Line : 420 DELAWARE ST SE
Second Line : MMC 508
City : MINNEAPOLIS
State : MN
Zip : 55455-0341
Country : US
Telephone Number : 612-626-2374
Fax Number : 612-625-5924
Provider Business Practice Location Address
First Line : 909 FULTON ST SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55455-4800
Country : US
Telephone Number : 612-273-8383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2007
Last Update Date : 07/21/2022

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