Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | R128756-3 | MN |
NPI | 1013986371 |
---|---|
Provider Name | Michelle L Paulsen |
First Address | Burnsville, MN 55337-6749 |
Second Address | Burnsville, MN 55337-6749 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 08/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0402338 | MEDICA (01) | MN |
1026134 | PREFERREDONE (01) | MN |
1195483 | AMERICA'S PPO (01) | MN |
151313 | UCARE MN (01) | MN |
266901300 | (05) | MN |
41184000 | (05) | WI |
66B61FU | BLUE CROSS BLUE SHIELD MN (01) | MN |
HP32384 | HEALTHPARTNERS (01) | MN |
P22224 | (02) | MN |