Individual
EMRE JOSIAH MICHELLE MAULEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP, APRM
Contact information
Practice address
2512 S 7TH ST, MINNEAPOLIS, MN 55454-1404
(612) 365-6777
(612) 365-8001
Mailing address
927 ALGONQUIN AVE, SAINT PAUL, MN 55119-3703
(651) 587-8135
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
R1907490
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
6201
MN
Other
Enumeration date
09/05/2018
Last updated
09/28/2018
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