Provider Demographics
NPI:1710694286
Name:BAUDHUIN, ELIZABETH FIELD (MS, RN, PMHNP-BC)
Entity Type:Individual
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First Name:ELIZABETH
Middle Name:FIELD
Last Name:BAUDHUIN
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Gender:F
Credentials:MS, RN, PMHNP-BC
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Mailing Address - Street 1:4240 PARK GLEN RD
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5427
Mailing Address - Country:US
Mailing Address - Phone:612-925-6033
Mailing Address - Fax:612-925-8496
Practice Address - Street 1:1155 FORD RD STE B
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-1115
Practice Address - Country:US
Practice Address - Phone:952-378-1800
Practice Address - Fax:952-378-1714
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-10
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Provider Licenses
StateLicense IDTaxonomies
MN2114570163W00000X
MN9677363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse