Individual
MRS. KATHERINE RACHEL WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1200 LAGOON AVE, MINNEAPOLIS, MN 55408-2077
(612) 823-6300
Mailing address
1045 OAKWOOD RD, NEWPORT, MN 55055-1838
(585) 489-4304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95058339
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
9958
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3094
—
CA
Enumeration date
09/30/2019
Last updated
04/23/2026
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