PETER WAHL (NPI# 1639786312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639786312 |
Entity Type | Individual |
Full Name | PETER WAHL |
Credential | DNP |
Practice Address |
4652 Lyndale Ave S Minneapolis MN 55419-5302 |
Practice Telephone | 7343957304 |
Mailing Telephone | 7343957304 |
Enumeration Date | 2020-09-28 |
Last Update Date | 2020-09-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7601 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4652 LYNDALE AVE S |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55419-5302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861032054 | David Gregg | Internal Medicine | 5305 Humboldt Ave S, Minneapolis, MN 55419 | 2020-01-15 |
1972020329 | Michael Daly | Marriage & Family Therapist | 5413 Nicollet Ave # 152, Minneapolis, MN 55419 | 2017-08-26 |
1518343946 | Samantha Ruth Praus | Counselor | Wellness Minneapolis, 4450 Nicollet Ave. S., Minneapolis, MN 55419 | 2015-08-07 |
1679919104 | Morgan Supinski | Occupational Therapist | 5748 Clinton Ave, Minneapolis, MN 55419 | 2013-05-10 |
1720358021 | Jeremy Zellmann | Pharmacist | 6001 Mogan Avenue South, Minneapolis, MN 55419 | 2012-01-04 |
1003108895 | Nicollet Dental | Dentist | 6101 Nicollet Ave. So., Minneapolis, MN 55419 | 2011-05-11 |
1194056812 | Laura J. Johnson | Social Worker | 410 E 48th St Ste 2, Minneapolis, MN 55419 | 2010-01-20 |
1992934392 | Morningsong Therapy Center Inc | Clinic/Center | 25 W. Diamond Lake Road, Minneapolis, MN 55419 | 2009-07-07 |
1619118775 | Dr. David Mckay, Dds LLC | Dentist | 4800 Nicollet Ave. S., Minneapolis, MN 55419 | 2009-03-18 |
1750553343 | Alex B Lanning | Chiropractor | 5415 Nicollet Ave, Minneapolis, MN 55419 | 2008-03-24 |
Find all providers in zip 55419 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356951552 | Madelyn Jayne Argo | Nurse Practitioner | 1720 Victory Memorial Dr, Minneapolis, MN 55412-1239 | 2020-08-03 |
1356963789 | Kersten Larayne Bailey | Nurse Practitioner | 2958 Lincoln St Ne, Minneapolis, MN 55418-2236 | 2020-05-07 |
1649804519 | Ifrah Abdi Abdullahi | Nurse Practitioner | 620 E Franklin Ave Apt 413, Minneapolis, MN 55404-3293 | 2020-02-28 |
1821645342 | Kelsey Middlestaedt | Nurse Practitioner | 2525 Chicago Ave Ste 32-t5, Minneapolis, MN 55404-4518 | 2019-08-20 |
1720546773 | Erika Lindsey Kuis | Nurse Practitioner | 918 W Lake St, Minneapolis, MN 55408-2857 | 2019-03-08 |
1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
1588176028 | Sylvie Adjoko Gaba | Nurse Practitioner | 100 South Fifth Street 19th Floor, Minneapolis, MN 55402-5199 | 2017-10-24 |
1336664804 | Heidi M Morrisey | Nurse Practitioner | 800 East 28th St W, Minneapolis, MN 55407 | 2017-08-07 |
1275073181 | Yellow Coriander, Psc | Nurse Practitioner | 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 | 2017-02-27 |
1811442569 | Shawna Doyle | Nurse Practitioner | 701 Washington Ave N, Ste 111-321, Minneapolis, MN 55401-2822 | 2016-08-23 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55419 |
Please comment or provide details below to improve the information on PETER WAHL.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.