| Doctor Name: | MICHELLE L PAULSEN |
| NPI Number: | 1013986371 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | R128756-3 |
| Business Practice Address: | 675 E Nicollet Blvd Suite # 200 Burnsville, MN - 553376741 |
| Business Phone Number: | 9528927190 |
| Business Fax Number: | 9528927956 |
| Mailing Address: | 675 E Nicollet Blvd, Suite # 200 BURNSVILLE |
| State: | MN |
| Postal Code: | 553376741 |
| Phone Number: | 9528927190 |
| Fax Number: | 9528927956 |
| NPI Enumeration Date: | 03/17/2006 |
| NPI Last Update Date: | 11/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R128756-3 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |