NPI 1467164277 · live from the CMS NPI Registry
Hannah Marie Balder, APRN CNP
Nurse Practitioner, Pediatrics in Minneapolis, MN. National Provider Identifier 1467164277, active.
NPI record
| NPI | 1467164277 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2535 University Ave Se, Minneapolis, MN 55414 |
| Practice phone | 612-672-2350 |
| Mailing address | 2647 Greenmeadow Ct, Stillwater, MN 55082 |
| Enumerated | December 23, 2022 |
| Last updated | February 16, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 9617 (MN) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 9617 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.