NPI 1679555171 · live from the CMS NPI Registry
Nancy Fox Carlson, C.P.N.P.
Nurse Practitioner, Pediatrics in Eden Prairie, MN. National Provider Identifier 1679555171, active.
NPI record
| NPI | 1679555171 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 12200 Middle Set Rd, 100, Eden Prairie, MN 55344 |
| Practice phone | 952-943-8200 |
| Enumerated | November 18, 2005 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R079032-3 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.