Individual
KATIE ANN EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6452 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 999-0333
Mailing address
6452 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 999-0333
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5206
MN
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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