Individual
ERICA LAUREN MILLER GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP
Contact information
Practice address
6363 FRANCE AVE S, EDINA, MN 55435-2129
(952) 903-1265
(952) 922-2525
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5293
MN
Other
Enumeration date
07/13/2017
Last updated
09/21/2020
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