Individual
KAITLIN MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
14001 RIDGEDALE DR STE 100, MINNETONKA, MN 55305-1781
(952) 259-3151
Mailing address
14001 RIDGEDALE DR STE 100, MINNETONKA, MN 55305-1781
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
10209
MN
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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