Individual
KORRIN PAIGE INGALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
2015 26TH AVE N, MINNEAPOLIS, MN 55411-1831
(573) 529-3208
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
2000162261
MO
163WN0002X
Neonatal Intensive Care Registered Nurse
2458138
MN
363LN0000X
Neonatal Nurse Practitioner
Primary
5337
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000162261
MISSOURI STATE BOARD OF NURSING LICENSE
MO
01
—
2458138
MINNESOTA BOARD OF NURSING
MN
01
—
5337
MINNESOTA BOARD OF NURSING
MN
Enumeration date
06/09/2017
Last updated
07/21/2022
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