Individual provider · Type 1 NPI

Katherine Tucker

Student in an Organized Health Care Education/Training Program · Coon Rapids, MN

NPI number 1124986237 Active

Practice location

11660 Round Lake Blvd NW
Coon Rapids, MN 55433-2638

Call (212) 217-3467 Map

Mailing address

2203 N Ferry St
Anoka, MN 55303-6751

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 1124986237

Katherine Tucker's National Provider Identifier is 1124986237, issued on Jan 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Coon Rapids, MN. The record was last updated on Jan 15, 2026.