Individual provider · Type 1 NPI

Maria McGannon

Pediatric Nurse Practitioner · Minnetonka, MN

NPI number 1265418875 Active

Practice location

17705 Hutchins Dr, Suite 101
Minnetonka, MN 55345-4145

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR1085503 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1265418875

Maria McGannon's National Provider Identifier is 1265418875, issued on Dec 16, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minnetonka, MN. The record was last updated on Jul 8, 2007.