1952752941 NPI number — MRS. ERIKA KAY BURGGRAFF APRN, DNP

Table of content: MRS. ERIKA KAY BURGGRAFF APRN, DNP (NPI 1952752941)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952752941 NPI number — MRS. ERIKA KAY BURGGRAFF APRN, DNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BURGGRAFF
Provider First Name:
ERIKA
Provider Middle Name:
KAY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN, DNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WEISENBERGER
Provider Other First Name:
ERIKA
Provider Other Middle Name:
KAY
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
APRN, DNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1952752941
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ST CLOUD HOSPITAL 1406 6TH AVE N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ST CLOUD
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56303-1901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
320-251-2700
Provider Business Mailing Address Fax Number:
320-656-7115

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ST CLOUD HOSPITAL 1406 6TH AVE N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST CLOUD
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56303-1901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-251-2700
Provider Business Practice Location Address Fax Number:
320-656-7115
Provider Enumeration Date:
06/30/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  R1685149 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: CNP4598 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)