Basic Information
| Provider Information | |||||||||
| NPI: | 1104153568 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STAMETS | ||||||||
| FirstName: | ERIN | ||||||||
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| Credential: | RN, CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1619 DAYTON AVE | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | SAINT PAUL | ||||||||
| State: | MN | ||||||||
| PostalCode: | 551046206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6516450478 | ||||||||
| FaxNumber: | 6516422523 | ||||||||
| Practice Location | |||||||||
| Address1: | 1619 DAYTON AVE | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | SAINT PAUL | ||||||||
| State: | MN | ||||||||
| PostalCode: | 551046206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6516450478 | ||||||||
| FaxNumber: | 6516422523 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/05/2009 | ||||||||
| LastUpdateDate: | 11/05/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | R147969-8 | MN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
No ID Information.