Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Elizabeth Hernandez Petrulo

Individual provider Athletic Trainer · NPI 1477134252

Mary Elizabeth Hernandez Petrulo is an Athletic Trainer in Eagan, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

2107 Cedar Grove Trl Apt 114
Eagan, MN 55122-1612
Phone: (952) 210-6330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 00883 (MN)

Record details

NPI number1477134252
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2021
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021

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