Provider Demographics
NPI:1306101357
Name:ZIELIN WURM, ERICA LOUISE (PMHNP)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:LOUISE
Last Name:ZIELIN WURM
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9400 ZANE AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1814
Mailing Address - Country:US
Mailing Address - Phone:763-763-8800
Mailing Address - Fax:763-315-4669
Practice Address - Street 1:4510 W 77TH ST FL 3
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5505
Practice Address - Country:US
Practice Address - Phone:952-230-9100
Practice Address - Fax:952-922-2525
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR168437-3363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health