Wulf, Judith A

Wulf, Judith A is an individual health care provider with primary practice located at 401 Phalen Boulevard , St. Paul MN 55130-5302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wulf, Judith A can be contacted via phone (651) 254-7900.

Contact Information

Primary practice address
401 Phalen Boulevard St. Paul MN 55130-5302
Phone: (651) 254-7900
Fax: (651) 254-7904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP2302 Minnesota

Profile Details

NPI number 1184698557
LBN Legal business name Wulf, Judith A
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 1st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184698557 NPPES
Minnesota Other 04-10205 MEDICA
Minnesota MEDICAID 1184698557 MEDICA
Minnesota MEDICAID 43917100 MEDICA

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