NPI 1013976554 · live from the CMS NPI Registry
Nancy Entgelmeier, CPNP
Nurse Practitioner, Pediatrics in St Paul, MN. National Provider Identifier 1013976554, active.
NPI record
| NPI | 1013976554 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 347 N Smith Ave, Childrens Specialty Clinic Feeding Clinic Stpl Mpls, St Paul, MN 55102 |
| Practice phone | 651-220-6446 |
| Mailing address | 2910 Centre Pointe Dr 35-121a, Childrens Health Care, Roseville, MN 55113 |
| Enumerated | March 22, 2006 |
| Last updated | October 30, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R0938017 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.