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

KATHERINE WAHL

Active Sole Proprietor

KATHERINE WAHL is a Pediatric Nurse Practitioner healthcare provider located in ROGERS, Minnesota. NPI 1609384973 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · ROGERS, MN

Registration Details

NPI Number
1609384973
Provider Type
Individual
Gender
Female
NPI Issued
Jan 19, 2018 (8.5279200753387 yrs)
Last Updated
Nov 16, 2018
Licenses
2230470 (MN)
6045 (MN)
Sole Proprietor
Yes

Practice Information

Address
13980 NORTHDALE BLVD
ROGERS, MN, 55374
Browse MN providers · Browse ZIP 55374
Phone
7634281920
Fax
6128742916
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in ROGERS, MN

Name Credential NPI
MR. WILLIAM N. KUNAU PNP 1063481513
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.