NPI 1245625664 · live from the CMS NPI Registry
Catherine Mary Carlson, APRN, CPNP
Nurse Practitioner, Pediatrics in Roseville, MN. National Provider Identifier 1245625664, active.
NPI record
| NPI | 1245625664 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1935 County Road B2 W, Suite 100, Roseville, MN 55113 |
| Practice phone | 651-636-4155 |
| Enumerated | April 2, 2015 |
| Last updated | April 2, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | CNP 3804 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.