Organization · Type 2 NPI

St. Catherine University School Based Health Clinic

Primary Care Nurse Practitioner · White Bear Lake, MN

NPI number 1467071084 Active

Practice location

5045 Division Ave,
White Bear Lake, MN 55110

Call (651) 653-2923 Map

Mailing address

2004 Randolph Ave., F-22
St. Paul, MN 55105

Specialties and licenses

Taxonomy	Code	License
Primary Care Nurse Practitioner Primary	363LP2300X	None listed

Primary Care Nurse Practitioner: Definition to come...

Other primary care nurse practitioner providers in White Bear Lake

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NPI record

NPI: 1467071084
Entity type: Organization (Type 2)
Issued: Apr 14, 2020
Last updated: Apr 14, 2020
Status: Active
Subpart: Yes of St. Catherine University

Other names

Bear Care Health and Wellness Center · doing business as

Authorized official

Jessica M Miehe, MSN, RN
Clinic Director
(651) 653-2923

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467071084

St. Catherine University School Based Health Clinic's National Provider Identifier is 1467071084, issued on Apr 14, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in White Bear Lake, MN. The record was last updated on Apr 14, 2020.