Individual provider · Type 1 NPI

Mary Lee Wahl

Gerontology Registered Nurse · Eden Prairie, MN

NPI number 1033048483 Active

Practice location

8350 Commonwealth Dr Apt 430
Eden Prairie, MN 55344-2870

Call (443) 569-9350 Map

Specialties and licenses

TaxonomyCodeLicense
Gerontology Registered Nurse Primary 163WG0600XR039925 (MD)

Gerontology Registered Nurse: Definition to come...

About NPI 1033048483

Mary Lee Wahl's National Provider Identifier is 1033048483, issued on May 13, 2026. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Eden Prairie, MN. The record was last updated on May 13, 2026.