NPI 1568092161 · live from the CMS NPI Registry
Meredith A Doran, CNP
Nurse Practitioner, Pediatrics in Maplewood, MN. National Provider Identifier 1568092161, active.
NPI record
| NPI | 1568092161 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1965 11th Ave E Ste 102, Maplewood, MN 55109 |
| Practice phone | 651-227-7806 |
| Mailing address | 3500 American Blvd W Ste 300, Bloomington, MN 55431 |
| Enumerated | January 22, 2020 |
| Last updated | October 1, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 10663 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.