Provider Demographics
NPI:1750753604
Name:VANHEEL, EMILY ELAINE (DNP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ELAINE
Last Name:VANHEEL
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ELAINE
Other - Last Name:PROEHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:7601 WINSDALE ST N
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-4053
Mailing Address - Country:US
Mailing Address - Phone:952-212-6116
Mailing Address - Fax:
Practice Address - Street 1:200 UNIVERSITY AVE E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2507
Practice Address - Country:US
Practice Address - Phone:651-291-2848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-29
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 185855-2363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics