Wulf, Judith A
Wulf, Judith A is an individual health care provider with primary practice located at 401 Phalen Boulevard , St. Paul MN 55130-5302. 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. Wulf, Judith A can be contacted via phone (651) 254-7900.Contact Information
Primary practice address
401 Phalen Boulevard
St. Paul MN 55130-5302
Phone: (651) 254-7900
Fax: (651) 254-7904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | CNP2302 | Minnesota |
Profile Details
| NPI number | 1184698557 |
|---|---|
| LBN Legal business name | Wulf, Judith A |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Oct 1st, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184698557 | NPPES |
| Minnesota | Other | 04-10205 | MEDICA |
| Minnesota | MEDICAID | 1184698557 | MEDICA |
| Minnesota | MEDICAID | 43917100 | MEDICA |
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