person
Katherine Wahl
Pediatric Nurse Practitioner in Rogers, Minnesota
NPI 1609384973

Katherine Wahl is a Pediatric Nurse Practitioner based in Rogers, MN and is specialized in Pediatrics. Katherine Wahl practices in Rogers, MN. The NPI Number for Katherine Wahl is 1609384973 and holds a License No. 2230470 (Minnesota).

The current practice location address for Katherine Wahl is 13980 Northdale Blvd, Rogers, MN and can be reached out via phone at 763-428-1920 and via fax at 612-874-2916.

Location: 13980 Northdale Blvd, Rogers, MN, 55374-2147
person
Provider Profile Details
NPI Number
1609384973
Provider Name
Katherine Wahl
Credential
Provider Entity Type
Individual
Gender
Female
Address
13980 Northdale Blvd, Rogers, MN, 55374-2147
Phone Number
763-428-1920
Fax Number
612-874-2916
Provider Enumeration Date
01/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13980 Northdale Blvd
City
State
Zip
55374
Phone Number
763-428-1920
Fax Number
612-874-2916
person
Provider Business Mailing Address Details
Address
13980 Northdale Blvd
City
State
Zip
55374
Phone Number
763-428-1920
Fax Number
612-874-2916
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
6045 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
2230470 (Minnesota)
Definition
Definition to come...
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