Individual provider · Type 1 NPI

Mary Kathleen Eggink, NP

Adult Health Nurse Practitioner · St. Paul, MN

NPI number 1124058110 Active

Practice location

1020 Bandana Blvd W
St. Paul, MN 55108-5107

Fax (651) 641-7166

Mailing address

1021 Bandana Blvd E, Suite 200
St. Paul, MN 55108-5113

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XR0769231 (MN)
Adult Health Nurse Practitioner Primary 363LA2200XR0769231 (MN)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1124058110

Mary Kathleen Eggink, NP's National Provider Identifier is 1124058110, issued on Jul 4, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Paul, MN. The record was last updated on Sep 11, 2025.