Individual provider · Type 1 NPI
Kathryn Elizabeth Douglass, CPNP
Pediatric Nurse Practitioner · Minnetonka, MN
NPI number
1497043954
Active
Practice location
17750 Hutchins Dr.
Minnetonka, MN 55345
Fax (952) 401-8373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 20102395 (MN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1497043954
Kathryn Elizabeth Douglass, CPNP's National Provider Identifier is 1497043954, issued on Jul 19, 2011. 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 19, 2011.