Individual provider · Type 1 NPI
Lisa N. Von Wald, AGPCNP-BC
Nurse Practitioner · Minneapolis, MN
Practice location
500 Harvard St SE
Minneapolis, MN 55455-0363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R179726-0 (MN) |
| Nurse Practitioner Primary | 363L00000X | 2013006750 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1093147142
Lisa N. Von Wald, AGPCNP-BC's National Provider Identifier is 1093147142, issued on Jul 31, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 8, 2013.