Individual
MICHELE LYNN HAEHNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55101-5302
(651) 254-7400
Mailing address
4804 ERIKS BLVD, EAGAN, MN 55122-2733
(651) 330-9405
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R135442-5
MN
363LG0600X
Gerontology Nurse Practitioner
R135442-5
MN
Other
Enumeration date
01/24/2007
Last updated
06/01/2015
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