DANIELLE JO MULLIN (NPI# 1730748948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730748948 |
| Entity Type | Individual |
| Full Name | DANIELLE JO MULLIN |
| Credential | APRN, CNP |
| Practice Address |
275 11th St S Wahpeton ND 58075-4655 |
| Mailing Address |
400 E 3rd Street Duluth MN 55805-1951 |
| Practice Telephone | 7016422000 |
| Practice Fax Number | 7016714106 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R41310 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
275 11TH ST S |
| City | WAHPETON |
| State | ND |
| Zip Code | 58075-4655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841264892 | Kristina England | Family Medicine | 275 11th St S, Wahpeton, ND 58075-4655 | 2006-02-15 |
| 1942813183 | Jessica L Anderson | Occupational Therapist | 275 11th St S, Wahpeton, ND 58075-4655 | 2020-08-27 |
| 1023654787 | Jacqueline Marie Bell | Speech-Language Pathologist | 275 11th St S, Wahpeton, ND 58075-4655 | 2019-11-18 |
| 1861054157 | Jordan J Coplin | Nurse Practitioner | 275 11th St S, Wahpeton, ND 58075-4655 | 2019-07-08 |
| 1932697786 | Allie Catherine Skjonsberg | Social Worker | 275 11th St S, Wahpeton, ND 58075-4655 | 2018-04-27 |
| 1598156481 | Bonita J Jenzen | Nurse Practitioner | 275 11th St S, Wahpeton, ND 58075-4655 | 2015-02-12 |
| 1245663657 | Tracy Lynn Dozak | Nurse Practitioner | 275 11th St S, Wahpeton, ND 58075-4655 | 2013-08-21 |
| 1609004845 | Ryan A Ehrmantraut | Physical Therapist | 275 11th St S, Wahpeton, ND 58075-4655 | 2009-06-25 |
| 1053563957 | Brian K Cooper | Physician Assistant | 275 11th St S, Wahpeton, ND 58075-4655 | 2008-10-22 |
| 1548446669 | Innovis Health, LLC | Clinic/Center | 275 11th St S, Wahpeton, ND 58075-4655 | 2008-01-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861745838 | Benedictine Living Community of Wahpeton | Skilled Nursing Facility | 711 14th Avenue North, Wahpeton, ND 58075 | 2012-10-16 |
| 1538385844 | Michelle Catherine Stach | Physical Therapy Assistant | 1307 4 Ave North, Wahpeton, ND 58075 | 2007-04-17 |
| 1881717122 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 1348 15th Av N, Wahpeton, ND 58075 | 2007-04-10 |
| 1972626216 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 821 Western Rd, Wahpeton, ND 58075 | 2007-04-10 |
| 1700908589 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 348 14th St N, Wahpeton, ND 58075 | 2007-04-04 |
| 1275626053 | Richland County | Public Health or Welfare | 413 3rd Avenue North, Wahpeton, ND 58075 | 2006-10-02 |
| 1962503896 | Brian James Quamme | Dentist | 910 16th Ave N, Wahpeton, ND 58075 | 2006-09-25 |
| 1083720114 | Judith Kay Schmidt | Dentist | 2005 Woodland Drive, Wahpeton, ND 58075 | 2006-08-22 |
| 1891240354 | Concept Dentistry PC | Dentist | 1999 4th St N, Wahpeton, ND 58075 | 2016-08-24 |
| 1255704318 | Mandy Naumann | Physical Therapist | 332 2nd Ave N, Wahpeton, ND 58075 | 2015-11-10 |
| Find all providers in zip 58075 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598232183 | Caitlin Hemquist | Nurse Practitioner | 100 4th St S Ste 308, Fargo, ND 58103-1937 | 2018-11-01 |
| 1134611197 | Christina Faye Love | Nurse Practitioner | 5th Medical Group, 5mdos/sgop, Minot Afb, ND 58704 | 2018-06-05 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1326117268 | Sun-mi Chae | Nurse Practitioner | 430 Oxford St. Stop 9025, College of Nursing Room 349, Grand Forks, ND 58202-9025 | 2006-11-07 |
| 1417930835 | Denise Renee Schrader | Nurse Practitioner | 2701 13th Ave S, Fargo, ND 58103-3602 | 2005-11-21 |
| 1114531928 | Emily Janes | Nurse Practitioner | 1701 S 12th St, Bismarck, ND 58504-6644 | 2020-08-31 |
| 1386274918 | Melissa Ann Knopik | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-01-23 |
| 1285271601 | Jamie Peshek | Nurse Practitioner | 765 W Interstate Ave, Bismarck, ND 58503-0936 | 2019-12-04 |
| 1427603588 | Annelise Sterneman | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-08-06 |
| 1801391248 | Sarah Genevieve Paur | Nurse Practitioner | 2701 13th Ave S, Fargo, ND 58103-3602 | 2018-03-27 |
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| 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.