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Individual

MICHELLE MARY EUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2808 COLORADO AVE S, ST LOUIS PARK, MN 55416-1827
(612) 599-1128
Mailing address
2808 COLORADO AVE S, ST LOUIS PARK, MN 55416-1827
(612) 599-1128

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196793-5
MN
163WN0002X
Neonatal Intensive Care Registered Nurse
95052267
CA
363LN0000X
Neonatal Nurse Practitioner
OMD1-04374274
MN
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5891
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104374274
NATIONAL CERTIFICATION CORPORATION
01
1967935
REGISTERED NURSE
MN
01
5891
MINNESOTA BOARD OF NURSING
MN
01
95003167
NURSE PRACTITIONER
CA
Enumeration date
07/23/2015
Last updated
11/19/2018
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