NPI 1518362821 · live from the CMS NPI Registry
Katie Bucka, RN, CPNP
Nurse Practitioner, Pediatrics in Saint Paul, MN. National Provider Identifier 1518362821, active.
NPI record
| NPI | 1518362821 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 200 University Ave E, Saint Paul, MN 55101 |
| Practice phone | 651-602-3277 |
| Mailing address | 110 1st Ave Ne, #703, Minneapolis, MN 55413 |
| Enumerated | October 29, 2014 |
| Last updated | November 3, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1861374 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.