NPI 1144718933 · live from the CMS NPI Registry
Kirsten Dougherty, CPNP-PC
Nurse Practitioner, Pediatrics in Minnetonka, MN. National Provider Identifier 1144718933, active.
NPI record
| NPI | 1144718933 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305 |
| Practice phone | 952-473-0211 |
| Enumerated | April 26, 2018 |
| Last updated | April 26, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 5269 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.