Essential Premium Healthcare LLC
Organization Active NPI Family Nurse Practitioner · Saint Michael, MN
NPI 1720912652 · NPPES record last updated Jun 8, 2026
Key facts
- NPI
- 1720912652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- ESSENTIAL PREMIUM HEALTHCARE LLC
- Practice address
- 413 Ash Ave NW
Saint Michael, MN 55376-1013 - Phone
- (763) 439-3157
- NPI assigned
- Jun 8, 2026
- Organization subpart
- No
Authorized official
- Name
- Nadu Madje Lawson Zankli
- Title
- Owner
- Phone
- (763) 439-3157
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
413 Ash Ave NW
Saint Michael, MN 55376-1013
Mailing address
413 Ash Ave NW
Saint Michael, MN 55376-1013
Phone (763) 439-3157
NPI Registry JSON
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780876800000",
"number": "1720912652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 ASH AVE NW",
"city": "SAINT MICHAEL",
"state": "MN",
"postal_code": "553761013",
"telephone_number": "763-439-3157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 ASH AVE NW",
"city": "SAINT MICHAEL",
"state": "MN",
"postal_code": "553761013",
"telephone_number": "763-439-3157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSENTIAL PREMIUM HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A",
"authorized_official_last_name": "LAWSON ZANKLI",
"authorized_official_first_name": "NADU MADJE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "763-439-3157"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.