Individual
DIANE P MUCKENHIRN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, WHCNP
Contact information
Practice address
1965 FORD PKWY, SAINT PAUL, MN 55116-1923
(651) 696-5509
(651) 698-2405
Mailing address
19572 SKYVIEW CIR, HUTCHINSON, MN 55350-4316
(320) 587-4907
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R0953856
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP16814
HEALTH PARTNERS PROV. ID
—
Enumeration date
10/17/2006
Last updated
03/07/2023
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