Individual provider · Type 1 NPI
Lee Ann Hertzog Donovan, CPNP
Pediatric Registered Nurse · Wayzata, MN
NPI number
1376516831
Active
Practice location
250 N Central Ave, #101
Wayzata, MN 55391
Fax (952) 473-7908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | R1497120 (MN) |
Pediatric Registered Nurse: Definition to come...
4 other providers at this address
Other pediatric registered nurse providers in Wayzata
About NPI 1376516831
Lee Ann Hertzog Donovan, CPNP's National Provider Identifier is 1376516831, issued on Feb 7, 2006. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Wayzata, MN. The record was last updated on Jul 13, 2026.