DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA N VON WALD, AGPCNP-BC

Active Sole Proprietor

LISA N VON WALD, AGPCNP-BC is a Nurse Practitioner healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1093147142 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · MINNEAPOLIS, MN

Registration Details

NPI Number
1093147142
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2013 (12.995869030161 yrs)
Last Updated
Aug 8, 2013
Licenses
R179726-0 (MN)
2013006750 (MN)
Sole Proprietor
Yes

Practice Information

Address
500 HARVARD ST SE
MINNEAPOLIS, MN, 554550363
Browse MN providers · Browse ZIP 55455
Phone
6122733000
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in MINNEAPOLIS, MN

Name Credential NPI
JUDITH KAY WIGHTMAN ARNP 1316946353
LISA MAE RUPERT MSN FNP 1871595421
CORALIE ANN PEDERSON WHNP 1841283074
MRS. SUSAN ANN DEMEULENAERE NP 1689662272
KARIN JORGENSON NEWELL C-NP 1114917788
MARY M. SMITH N.P. 1548247653
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.