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Contact Information

NANCY ENTGELMEIER, CPNP
347 N SMITH AVE
CHILDRENS SPECIALTY CLINIC FEEDING CLINIC STPL MPLS
SAINT PAUL, MN55102
 Phone: 651-220-6446
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NANCY ENTGELMEIER · (Female)

NPI Number 1013976554
Status Active
Credentials CPNP (Certified Pediatric Nurse Practitioner)
Entity Individual
Enumeration date 03/22/2006
Last updated 10/30/2012 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # R0938017
  • MN Medicaid 400815400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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