Individual provider · Type 1 NPI

Wiltse Crompton, CPNP

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1164623716 Active

Practice location

3433 Broadway St NE
Minneapolis, MN 55413-1740

Mailing address

1504 Washburn Ave N
Minneapolis, MN 55411-2845

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200XR 143878-1 (MN)
Pediatric Nurse Practitioner Primary 363LP0200X20000337 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1164623716

Wiltse Crompton, CPNP's National Provider Identifier is 1164623716, issued on May 30, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 11, 2025.