Provider Demographics
NPI:1679655179
Name:SCHURRER-ERICKSON, KARIN LYNN (NP)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:LYNN
Last Name:SCHURRER-ERICKSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE STREET SE
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-333-0770
Mailing Address - Fax:
Practice Address - Street 1:2615 EAST FRANKLIN AVENUE
Practice Address - Street 2:UFP SMILEY'S CLINIC
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406
Practice Address - Country:US
Practice Address - Phone:612-333-0770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 088196-0363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1013955OtherPREFERRED ONE
MN442826900Medicaid
MN42G71EROtherBLUE CROSS BLUE SHIELD
WI43993900Medicaid
MNHP21052OtherHEALTH PARTNERS
MN04-02576OtherMEDICA CHOICE
MN115636OtherUCARE
MN04-02576OtherMEDICA PRIMARY
MN04-02576OtherMEDICA PRIMARY
S28477Medicare UPIN