Individual provider · Type 1 NPI

Martha Waterfield

Student in an Organized Health Care Education/Training Program · Eden Prairie, MN

NPI number 1043077639 Active

Practice location

7525 Mitchell Rd Ste 100
Eden Prairie, MN 55344-1900

Call (612) 924-1476 Map

Fax (952) 224-2284

Mailing address

2219 Arthur St NE
Minneapolis, MN 55418-3910

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043077639

Martha Waterfield's National Provider Identifier is 1043077639, issued on Mar 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Eden Prairie, MN. The record was last updated on Mar 1, 2024.