Nurse Practitioner, Pediatrics
KATHERINE WAHL
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 Plan acceptance stays unpublished until the practice reports it.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 1609384973 · enumerated 2018-01-19 · record updated 2018-11-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 13980 NORTHDALE BLVD, ROGERS, MN, 55374 (763) 428-1920 Fax (612) 874-2916 Google Maps Apple Maps OpenStreetMap
- Mailing address 13980 NORTHDALE BLVD, ROGERS, MN, 55374-2147 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse, Pediatrics 163WP0200X · License 2230470 MN
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 6045 MN
In this directory
Locations and evidence
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Practice location
ROGERS, MN, 55374
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.