Female

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)

Code

363LP0200X

Primary Taxonomy

Yes

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

Provider Address

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