NPI 1003161787

Heather Lage, RNCDE

Practitioner Diabetes Educator Registered Nurse Maple Grove, MN

Practice location

Address: 14500 99th Ave N, Maple Grove, MN 55369-4730
Phone: (763) 898-1000

Registered specialties

Diabetes Educator Registered Nurse Primary

Nursing Service Providers Taxonomy 163WD0400X Licence R 159383-3 (MN)

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Registry record

NPI: 1003161787
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2012
Record last updated: 18 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.