Provider Demographics
NPI:1639469455
Name:HUTTER-SEEBART, ELIZABETH ANN (APRN CNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:HUTTER-SEEBART
Suffix:
Gender:F
Credentials:APRN CNP
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Mailing Address - Street 1:3366 OAKDALE AVENUE NORTH
Mailing Address - Street 2:OAKDALE MEDICAL BUILDING, STE 605
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422
Mailing Address - Country:US
Mailing Address - Phone:763-520-2940
Mailing Address - Fax:763-520-2943
Practice Address - Street 1:3366 OAKDALE AVE N
Practice Address - Street 2:SUITE 605
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-2948
Practice Address - Country:US
Practice Address - Phone:763-520-2940
Practice Address - Fax:763-520-2943
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR 173691-7363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2011007749OtherANCC CERTIFICATION