Nurse Practitioner, Pediatrics
AMY TANNAHILL
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1295712289 · enumerated 2005-12-29 · record updated 2026-07-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 6465 WAYZATA BLVD, STE 315, MINNEAPOLIS, MN, 55426-1728 Google Maps Apple Maps OpenStreetMap
- Practice location 11455 VIKING DR, STE 300, EDEN PRAIRIE, MN, 55344-7251 (952) 993-2498 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License R1346459 MN
In this directory
MN Hennepin County Eden Prairie Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
EDEN PRAIRIE, MN, 553447251
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.