Individual
MICHELLE L PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
675 E NICOLLET BLVD STE 100, BURNSVILLE, MN 55337-6749
(952) 892-7190
(952) 892-7956
Mailing address
675 E NICOLLET BLVD STE 100, BURNSVILLE, MN 55337-6749
(952) 892-7190
(952) 892-7956
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R128756-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402338
MEDICA
MN
01
—
1026134
PREFERREDONE
MN
01
—
1195483
AMERICA'S PPO
MN
01
—
151313
UCARE MN
MN
05
—
266901300
—
MN
05
—
41184000
—
WI
01
—
66B61FU
BLUE CROSS BLUE SHIELD MN
MN
01
—
HP32384
HEALTHPARTNERS
MN
Enumeration date
03/17/2006
Last updated
01/08/2018
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