Provider Demographics
NPI:1417147265
Name:ERICKSON, CARI LYNN STEMIG (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:LYNN STEMIG
Last Name:ERICKSON
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:CARI
Other - Middle Name:LYNN
Other - Last Name:STEMIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN CNM
Mailing Address - Street 1:8170 33RD AVE S # MS 21110Q
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14101 FAIRVIEW DR
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4590
Practice Address - Country:US
Practice Address - Phone:952-993-3282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCNP8365363LW0102X
MN177187-5367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife