Provider Demographics
NPI:1467873109
Name:MARTIN, ERIN HAPP (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:HAPP
Last Name:MARTIN
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:KELSEY
Other - Last Name:HAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1538 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-1818
Mailing Address - Country:US
Mailing Address - Phone:612-227-4404
Mailing Address - Fax:
Practice Address - Street 1:2525 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4518
Practice Address - Country:US
Practice Address - Phone:612-813-6843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR179741-9363LP0222X
MN3481363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care