person
Lisa Pivotto Kroening, CPNP
Pediatric Nurse Practitioner in Eden Prairie, Minnesota
NPI 1821173956

Lisa Pivotto Kroening is a Pediatric Nurse Practitioner based in Edina, MN and is specialized in Pediatrics. Lisa Pivotto Kroening practices in Eden Prairie, MN and has the professional credentials of CPNP. The NPI Number for Lisa Pivotto Kroening is 1821173956 and holds a License No. R111593 (Minnesota).

The current practice location address for Lisa Pivotto Kroening is 18315 Cascade Dr, Eden Prairie, MN and can be reached out via phone at 952-831-1944 and via fax at 952-278-6947.

Location: 18315 Cascade Dr, Eden Prairie, MN, 55435-5655
person
Provider Profile Details
NPI Number
1821173956
Provider Name
Lisa Pivotto Kroening
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
18315 Cascade Dr, Eden Prairie, MN, 55435-5655
Phone Number
952-831-1944
Fax Number
952-278-6947
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FP9021013319 01 MN PREFERRED ONE
1200184 01 MN MEDICA
9G994KR 01 MN BC/BS
institution
Provider Business Practice Location Address Details
Address
18315 Cascade Dr
City
State
Zip
55347-1180
Phone Number
952-831-1944
Fax Number
952-278-6947
person
Provider Business Mailing Address Details
Address
18315 Cascade Dr
City
State
Zip
55347-1180
Phone Number
952-831-1944
Fax Number
952-278-6947
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R111593 (Minnesota)
Definition
Definition to come...
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