Provider Demographics
NPI:1194788661
Name:VONREIN, ERINN S (PA)
Entity type:Individual
Prefix:
First Name:ERINN
Middle Name:S
Last Name:VONREIN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5911 OXFORD ST
Mailing Address - Street 2:APT 1
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5126
Mailing Address - Country:US
Mailing Address - Phone:952-946-9777
Mailing Address - Fax:952-946-9888
Practice Address - Street 1:8100 W 78TH ST
Practice Address - Street 2:SUITE 225
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2516
Practice Address - Country:US
Practice Address - Phone:952-946-9777
Practice Address - Fax:952-946-9888
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10071363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1045679OtherPREFERRED ONE
MN0122208OtherSELECT CARE
MN122208OtherPATIENT CHOICE
MN2406637OtherAMERICAS PPO
MN0122208OtherMEDICA
MN262P6VOOtherBLUE CROSS
MNHP58062OtherHEALTHPARTNERS
MN181974OtherUCARE
MN122208OtherPATIENT CHOICE