Provider Demographics
NPI:1669134540
Name:EUERLE, CARRIE (FNP)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:EUERLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 LOOKOUT PT
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:MN
Mailing Address - Zip Code:55313-5038
Mailing Address - Country:US
Mailing Address - Phone:320-221-2672
Mailing Address - Fax:
Practice Address - Street 1:106 LOOKOUT PT
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:MN
Practice Address - Zip Code:55313-5038
Practice Address - Country:US
Practice Address - Phone:320-221-2672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-08
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8014363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily