NPI 1497277438 · live from the CMS NPI Registry
Katie Ann Eagle
Nurse Practitioner, Pediatrics in Eden Prairie, MN. National Provider Identifier 1497277438, active.
NPI record
| NPI | 1497277438 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 6452 City West Pkwy, Eden Prairie, MN 55344 |
| Practice phone | 952-999-0333 |
| Enumerated | July 12, 2017 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 5206 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.