Individual provider · Type 1 NPI

Michelle Mauder, RN, CNP

Pediatric Nurse Practitioner · St. Paul, MN

NPI number 1104870906 Active

Practice location

360 Colborne St
St. Paul, MN 55102-3228

Fax (651) 228-3649

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR143864-2 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104870906

Michelle Mauder, RN, CNP's National Provider Identifier is 1104870906, issued on May 19, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Paul, MN. The record was last updated on Oct 13, 2014.