Michelle Mauder, RN,CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R143864-2 Issued in MN

Practice address

360 Colborne St
Saint Paul, MN 55102-3228

Phone

(651) 767-8189

Fax

(651) 228-3649

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1104870906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 COLBORNE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023228",
            "telephone_number": "651-767-8380",
            "fax_number": "651-228-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 COLBORNE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023228",
            "telephone_number": "651-767-8189",
            "fax_number": "651-228-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUDER",
        "first_name": "MICHELLE",
        "credential": "RN,CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "R143864-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246910300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Matuseski, OTR
• Janell L Matz, D.C.
• Sarah Matz
• Maggie Marie Mau, CD (DONA), CLC
• Karen Maudal, PT
• Alison Claire Maule Kronmiller, PHD LP
• Hallee Jane Maulsby
• Marena Maupin, RN
• Maureen Gaffey, Psy. D., LLC.
• Maureen Ulbee Psychotherapy PLLC

• Pediatric Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.