Search › Minnesota › 224Z00000X
Cassidy Ericksen
NPI 1376076562 · on the registry since 2017
Practice
- Address
- 1670 Legacy Pkwy E
Maplewood, MN 55109 - Phone
- (952) 697-0627
- Fax
- (479) 201-2084
- Organisation at this address
- Ecumen
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-04-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota