MICHELLE MARY EUL


Address: 2808 Colorado Ave S, St Louis Park, MN 55416-1827
Phone: 6125991128

MICHELLE MARY EUL (NPI# 1265817860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265817860
Entity Type Individual
Full Name MICHELLE MARY EUL
Other Name MICHELLE MARY OMDAHL
Credential NP
Practice Address 2808 Colorado Ave S
St Louis Park
MN 55416-1827
Practice Telephone 6125991128
Mailing Telephone 6125991128
Enumeration Date 2015-07-23
Last Update Date 2018-11-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 196793-5 MN Nursing Service Providers
N 163WN0002X Registered Nurse
Specialization: Neonatal Intensive Care
95052267 CA Nursing Service Providers
N 363LN0000X Nurse Practitioner
Specialization: Neonatal
OMD1-04374274 MN Physician Assistants & Advanced Practice Nursing Providers
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
5891 MN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA NURSE PRACTITIONER 95003167 01
MN MINNESOTA BOARD OF NURSING 5891 01
NATIONAL CERTIFICATION CORPORATION 104374274 01
MN REGISTERED NURSE 1967935 01

Office Location

Street Address 2808 COLORADO AVE S
City ST LOUIS PARK
State MN
Zip Code 55416-1827

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1831758929 Ally Group Homes LLC Assisted Living Facility 2944 Princeton Ave South, Saint Louis Park, MN 55416 2019-06-11
1609371525 Heather Margaret Flatgard Chiropractor 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 2018-03-25
1942702394 Polaris Pharmacy Services of Minnesota, LLC Pharmacy 4220 Park Glen Road, St. Louis Park, MN 55416 2018-03-01
1316469760 Evert Ray Boyd Psychologist 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 2017-07-07
1861941684 Amanda Marie Tapper Marriage & Family Therapist 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 2016-09-22
1326410416 Clear Health Chiropractic LLC Chiropractor 5614 W 36th St, St. Louis Park, MN 55416 2015-10-28
1568897833 Kay Elizabeth Lichtenberger Physical Therapist 4415 W 36.5 St, St. Louis Park, MN 55416 2013-09-05
1710221510 Aaron Christopher Oppelt Counselor 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 2012-11-16
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245585926 Bria M James Nurse Practitioner 1883 Sandbar Circle, Waconia, MN 55387-1072 2012-07-18
1356502124 Nannette Marie Albright Nurse Practitioner Children's Minnesota, 2525 Chicago Avenue South, Minneapolis, MN 55404 2008-06-24
1770551178 Jaclyn M Schultz-czarniak Nurse Practitioner 349 Country Rd, Stillwater, MN 55082-5581 2006-03-10
1558962399 Amanda Lee King Nurse Practitioner 1406 6th Ave N, Saint Cloud, MN 56303-1900 2020-11-06
1255930202 Gershom Aaron Tam Nurse Practitioner 2525 Chicago Ave, Minneapolis, MN 55404-4518 2020-10-21
1184244139 Ahnalieza Marie Brill Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2020-04-20
1063069284 Korena Marie Katherine Kemerling-theobald Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2019-08-22
1972078632 Kallie Renee Graham Nurse Practitioner 701 Park Ave, Minneapolis, MN 55415-1623 2018-10-09
1538641592 Melissa Luanne Masselink Nurse Practitioner 2450 Riverside Ave, Minneapolis, MN 55454-1450 2018-09-05
1003354853 Maria A Andrews Nurse Practitioner 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 2017-02-01
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Competitor

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City ST LOUIS PARK
Zip Code 55416

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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