Individual provider · Type 1 NPI

Killeen Prater

Licensed Practical Nurse · Edina, MN

NPI number 1831934611 Active

Practice location

4510 77th St W
Edina, MN 55435-5505

Call (952) 826-8475 Map

Mailing address

405 15th Ave SE
Minneapolis, MN 55414-2011

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X825308 (MN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

15 other providers at this address

About NPI 1831934611

Killeen Prater's National Provider Identifier is 1831934611, issued on Jun 25, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Edina, MN. The record was last updated on Jun 25, 2024.