Michelle Mauder RN,CNP
Pediatric Nurse Practitioner in Saint Paul, MN(View on Map)
Full Name
Michelle Mauder RN,CNP
NPI Number
1104870906
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/19/2006
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
R143864-2
Contact
Information
Purpose
Mailing
Location
Address
360 COLBORNE ST
360 COLBORNE ST
City
Saint Paul
Saint Paul
State
MN
MN
Postal Code
55102-3228
55102-3228
Country
US
US
Telephone Number
(651) 767-8380
(651) 767-8189
Identifiers
Identifier
246910300
Identifier State
MN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/13/2014