Individual
STACEY M EHLERS-MILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., C.N.P.
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8680
(651) 254-8656
Mailing address
8170 33RD AVE S, MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3329
MN
363LG0600X
Gerontology Nurse Practitioner
R123301-2
MN
Other
Enumeration date
04/05/2006
Last updated
12/08/2021
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