Individual provider · Type 1 NPI
Coralie Ann Pederson, WHNP
Nurse Practitioner · Minneapolis, MN
Practice location
410 Church St SE
Minneapolis, MN 55455-0222
Fax (612) 677-3211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 0011 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1841283074
Coralie Ann Pederson, WHNP's National Provider Identifier is 1841283074, issued on Aug 23, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 30, 2025.