Individual provider · Type 1 NPI

Amy Tannahill

Pediatric Nurse Practitioner · Eden Prairie, MN

NPI number 1295712289 Active

Practice location

11455 Viking Dr, Ste 300
Eden Prairie, MN 55344-7251

Mailing address

6465 Wayzata Blvd, Ste 315
Minneapolis, MN 55426-1728

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR1346459 (MN)

Pediatric Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1295712289

Amy Tannahill's National Provider Identifier is 1295712289, issued on Dec 29, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Eden Prairie, MN. The record was last updated on Jul 13, 2026.