NPI 1215230354 · live from the CMS NPI Registry
Kendall Biallas Baumgartner, CPNP-AC
Nurse Practitioner, Pediatrics, Critical Care in Minneapolis, MN. National Provider Identifier 1215230354, active.
NPI record
| NPI | 1215230354 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics, Critical Care 363LP0222X |
| Practice location | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404 |
| Practice phone | 612-813-3300 |
| Enumerated | December 13, 2010 |
| Last updated | July 9, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 3872 (MN) |
| Nurse Practitioner, Pediatrics, Critical Care primary | 363LP0222X | 3872 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.