Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | OMD1-04374274 | MN |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 5891 | MN |
NPI | 1265817860 |
---|---|
Provider Name | Michelle Mary Eul |
First Address | St Louis Park, MN 55416-1827 |
Second Address | St Louis Park, MN 55416-1827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2015 |
Last Update Date | 19/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104374274 | NATIONAL CERTIFICATION CORPORATION (01) | |
1967935 | REGISTERED NURSE (01) | MN |
5891 | MINNESOTA BOARD OF NURSING (01) | MN |
95003167 | NURSE PRACTITIONER (01) | CA |