Lee Ann Hertzog Donovan in Wayzata - Pediatrics
Lee Ann Hertzog Donovan - NPI 1376516831
Lee Ann Hertzog Donovan is a Pediatrics in Wayzata, Minnesota. Lee Ann Hertzog Donovan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lee Ann Hertzog Donovan is 1376516831. The last update date is 2007-07-08.
Lee Ann Hertzog Donovan's current location address is 250 N Central Ave, Wayzata, Minnesota. You can contact this provider via phone number 9524730211 and fax number 9524737908. The mailing address for Lee Ann Hertzog Donovan is 250 N Central Ave, Wayzata, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee Ann Hertzog Donovan |
|---|---|
| Address | 250 N Central Ave, Wayzata, Minnesota |
| Phone Number | 9524730211 |
| Fax Number | 9524737908 |
| Sole Proprietor | X |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1376516831 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 250 N Central Ave |
|---|---|
| City | Wayzata |
| State | Minnesota (MN) |
| Post Code | 55391 |
| Phone Number | 9524730211 |
| Fax Number | 9524737908 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 163Wp0200X |
| Licence No | R1497120 |
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Definition: A registered nurse who cares for infant, child, and adolescent patients. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lee Ann Hertzog Donovan by the Centers for Medicare & Medicaid Services?
The Lee Ann Hertzog Donovan has been assigned the NPI (National Provider Identifier) 1376516831 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Lee Ann Hertzog Donovan located?
The Lee Ann Hertzog Donovan is located at 250 N Central Ave, Wayzata, MN 55391.
What is Lee Ann Hertzog Donovan's area of expertise and its corresponding taxonomy classification?
The Lee Ann Hertzog Donovan's field of specialization is Pediatrics, and it falls under the taxonomy code 163Wp0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1376516831 to Lee Ann Hertzog Donovan?
The Centers for Medicare & Medicaid Services assigned the 1376516831 to Lee Ann Hertzog Donovan on 2006-02-07.
As of what date were the details related to Lee Ann Hertzog Donovan most recently updated or revised?
The information pertaining to Lee Ann Hertzog Donovan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.