Kathy Wagle in St Louis Park - Psychiatric/mental Health, Child & Adolescent
Kathy Wagle - NPI 1912983727
Kathy Wagle is a Psychiatric/mental Health, Child & Adolescent in St Louis Park, Minnesota. Kathy Wagle practices all healthcare services and medical treatments related to Psychiatric/mental Health, Child & Adolescent. The NPI Number for Kathy Wagle is 1912983727. The last update date is 2016-03-11.
Kathy Wagle's current location address is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529933307. The mailing address for Kathy Wagle is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kathy Wagle |
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Address | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
Phone Number | 9529933307 |
Fax Number | |
Sole Proprietor | N |
Credentials | APRN, CNS |
NPI Number Detail
NPI Number | 1912983727 |
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Provider Enumeration Date | 2005-12-22 |
Last Updated Date | 2016-03-11 |
Provider Mailing Address Detail
Address | 3800 Park Nicollet Blvd |
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City | St Louis Park |
State | Minnesota (MN) |
Post Code | 554162527 |
Phone Number | 9529933307 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychiatric/mental Health, Child & Adolescent |
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Taxonomy | 364Sp0807X |
Licence No | CNS 0187 |
Definition: A psychiatric clinical nurse specialist expert in caring for infants, children and adolescents. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kathy Wagle?
The Kathy Wagle has been issued the NPI (National Provider Identifier) 1912983727 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kathy Wagle?
The Kathy Wagle is physically situated at 3800 Park Nicollet Blvd, in the city of St Louis Park, state of MN, with the postal code 554162527.
What is Kathy Wagle's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kathy Wagle is Psychiatric/mental Health, Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 364Sp0807X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912983727 to Kathy Wagle?
The Centers for Medicare & Medicaid Services originally issued the 1912983727 to Kathy Wagle on 2005-12-22.
As of what date was the information regarding Kathy Wagle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kathy Wagle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-03-11.