Individual
NANCY ENTGELMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
347 N SMITH AVE, CHILDRENS SPECIALTY CLINIC FEEDING CLINIC STPL MPLS, ST PAUL, MN 55102
(651) 220-6446
Mailing address
2910 CENTRE POINTE DR 35-121A, CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2327
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R0938017
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400815400
—
MN
Enumeration date
03/22/2006
Last updated
10/30/2012
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