NPI 1255332029 · live from the CMS NPI Registry
Mary M Erickson, RNC PNP MPH
Nurse Practitioner, Pediatrics in St Paul, MN. National Provider Identifier 1255332029, active.
NPI record
| NPI | 1255332029 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | Children'S Primary Clinic - Stpl, 347 North Smith Avenue, St Paul, MN 55102 |
| Practice phone | 651-220-6789 |
| Mailing address | Children'S Health Care, 2910 Centre Pointe Drive 35-121a, Roseville, MN 55113 |
| Enumerated | August 3, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R073480-0 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.