NPI 1497701551 · live from the CMS NPI Registry
Kathleen Marie Eide, PNP
Nurse Practitioner, Pediatrics in Edina, MN. National Provider Identifier 1497701551, active.
NPI record
| NPI | 1497701551 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 6401 France Ave S, Edina, MN 55435 |
| Practice phone | 952-924-5000 |
| Enumerated | May 26, 2006 |
| Last updated | May 16, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R0725767 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.