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).
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 |
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 |
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 |
Street Address |
2808 COLORADO AVE S |
City | ST LOUIS PARK |
State | MN |
Zip Code | 55416-1827 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
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 |
Find all providers in zip 55416 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | ST LOUIS PARK |
Zip Code | 55416 |
Please comment or provide details below to improve the information on MICHELLE MARY EUL.
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.