Individual
LAUREN MAILE ELLA MERMOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGNP-C
Contact information
Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650
Mailing address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2475674
MN
363L00000X
Nurse Practitioner
Primary
13045
MN
363L00000X
Nurse Practitioner
1733233
WI
Other
Enumeration date
06/26/2025
Last updated
08/31/2025
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