Provider Demographics
NPI:1740012988
Name:ZIEMKE, JULAINE CHRISTINE (CPNP-PC)
Entity type:Individual
Prefix:
First Name:JULAINE
Middle Name:CHRISTINE
Last Name:ZIEMKE
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37350 VERDIN ST NW
Mailing Address - Street 2:
Mailing Address - City:STANCHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55080-8721
Mailing Address - Country:US
Mailing Address - Phone:763-447-8941
Mailing Address - Fax:
Practice Address - Street 1:1600 GRAND AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1801
Practice Address - Country:US
Practice Address - Phone:763-447-8941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN202428126363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics