Individual provider · Type 1 NPI

Catherine Agallo Deya

Family Nurse Practitioner · White Bear Lake, MN

NPI number 1205271004 Active

Practice location

2730 County Road E E
White Bear Lake, MN 55110-4963

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR 158207-7 (MN)
Family Nurse Practitioner Primary 363LF0000X7752 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1205271004

Catherine Agallo Deya's National Provider Identifier is 1205271004, issued on May 7, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in White Bear Lake, MN. The record was last updated on Jul 13, 2021.