Organization · Type 2 NPI
Essential Premium Healthcare LLC
Family Nurse Practitioner · St. Michael, MN
NPI number
1720912652
Active
Practice location
413 Ash Ave NW
St. Michael, MN 55376-1013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1720912652
Essential Premium Healthcare LLC's National Provider Identifier is 1720912652, issued on Jun 8, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Michael, MN. The record was last updated on Jun 8, 2026.