St. Catherine University School Based Health Clinic
Nurse Practitioner, Primary Care in White Bear Lake, MN. Organization (NPI-2).
NPI number1467071084
StatusActive
Last updated in NPPESApr 14, 2020
Details
- NPI
- 1467071084
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Catherine University School Based Health Clinic
- Organization subpart
- Yes
- Enumeration date
- Apr 14, 2020
- Certification date
- Apr 14, 2020
- Last updated
- Apr 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | Yes |
Other names
- Bear Care Health And Wellness Center (Doing Business As)
Practice location
5045 Division Ave,White Bear Lake, MN 55110
Phone 651-653-2923
Mailing address
2004 Randolph Ave.F-22
St. Paul, MN 55105
Phone 651-690-6101
Authorized official
Jessica M Miehe
Clinic Director
6516532923
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