Provider Demographics
NPI:1184059677
Name:WILKINSON, ERIN R (APRN, CNP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:R
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 LEXINGTON PKWY S
Mailing Address - Street 2:APT 304
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-2850
Mailing Address - Country:US
Mailing Address - Phone:763-226-8662
Mailing Address - Fax:
Practice Address - Street 1:2100 3RD AVE STE W121
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-2235
Practice Address - Country:US
Practice Address - Phone:763-324-4620
Practice Address - Fax:763-324-4622
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNF0813433363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily