Bratholdt, Shelley A

Bratholdt, Shelley A is an individual health care provider with primary practice located at 205 S Wabasha St Healthpartners St. Paul Urgent Care, St. Paul MN 55107-1805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bratholdt, Shelley A can be contacted via phone (952) 853-8800.

Contact Information

Primary practice address
205 S Wabasha St Healthpartners St. Paul Urgent Care St. Paul MN 55107-1805
Phone: (952) 853-8800
Fax: (651) 293-8106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 65387 Minnesota

Profile Details

NPI number 1699749630
LBN Legal business name Bratholdt, Shelley A
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Apr 2nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699749630 NPPES
Minnesota MEDICAID 963219100

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