Individual
ERICA LINAE EBERHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(757) 737-0275
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(757) 737-0275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3621
MN
363LP0200X
Pediatric Nurse Practitioner
3621
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP 3621
NURSE PRACTITIONER
MN
Enumeration date
03/14/2012
Last updated
06/24/2019
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