Individual provider · Type 1 NPI

Carmen Renee Grande Henke, CNNP

Neonatal Nurse Practitioner · St. Paul, MN

NPI number 1205892833 Active

Practice location

347 North Smith Avenue, Childrens Specialty Clinic Nicu
St. Paul, MN 55102

Call (651) 220-6210 Map

Fax (651) 220-7777

Mailing address

2910 Centre Pointe Drive, 35 121A
Roseville, MN 55113

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000XR1475155 (MN)
Critical Care Neonatal Nurse Practitioner 363LN0005XR1475155 (MN)

Neonatal Nurse Practitioner: Definition to come...

35 other providers at this address

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About NPI 1205892833

Carmen Renee Grande Henke, CNNP's National Provider Identifier is 1205892833, issued on Apr 22, 2006. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in St. Paul, MN. The record was last updated on Dec 19, 2016.