Individual provider · Type 1 NPI

Lisa Nordland

Pediatric Nurse Practitioner · St. Paul, MN

NPI number 1417201799 Active

Practice location

347 Smith Ave N
St. Paul, MN 55102-2387

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X20121865 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1417201799

Lisa Nordland's National Provider Identifier is 1417201799, issued on Nov 7, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Paul, MN. The record was last updated on Nov 7, 2012.