LEE ANN HERTZOG DONOVAN (NPI# 1376516831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376516831 |
| Entity Type | Individual |
| Full Name | LEE ANN HERTZOG DONOVAN |
| Other Name | LEE ANN HERTZOG |
| Credential | CPNP |
| Practice Address |
250 N Central Ave #101 Wayzata MN 55391 |
| Practice Telephone | 9524730211 |
| Practice Fax Number | 9524737908 |
| Mailing Telephone | 9524730211 |
| Mailing Fax Number | 9524737908 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
R1497120 | MN | Nursing Service Providers |
| Street Address |
250 N CENTRAL AVE #101 |
| City | WAYZATA |
| State | MN |
| Zip Code | 55391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952738361 | Camara Good LLC | Clinic/Center | 250 N Central Ave, Suite 300, Wayzata, MN 55391 | 2013-09-30 |
| 1508926841 | Wayzata Endodontics Pa | Dentist | 250 N Central Ave, Suite 303, Wayzata, MN 55391 | 2006-12-09 |
| 1265515753 | Tracey Ann Mcguinn | Pediatrics | 250 N Central Ave, #101, Wayzata, MN 55391 | 2006-10-20 |
| 1003888512 | Linda Nielsen Sedgwick | Registered Nurse | 250 N Central Ave, # 101, Wayzata, MN 55391 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1417579178 | Kate Anne Schroeder | Behavioral Analyst | 901 Twelve Oaks Center Drive Suite 934, Wayzata, MN 55391 | 2020-05-15 |
| 1467940478 | Tyler Michael Knutson | Chiropractor | 1421 E Wayzata Blvd, Wayzata, MN 55391 | 2018-04-25 |
| 1427552025 | Emma Nadler, L.L.C. | Counselor | 700 Twelve Oaks Center Dr. #263, Wayzata, MN 55391 | 2018-03-20 |
| 1730687757 | Global Home Care Inc | Home Health | 1001 Twelve Oaks Center Drive, Suite 1018, Wayzata, MN 55391 | 2018-01-24 |
| 1205362472 | Oraphanh Vongpheth Smith | Registered Nurse | 801 Twelve Oaks Center Drive, Suite 822, Wayzata, MN 55391 | 2017-05-10 |
| 1386189272 | Wayzata Endodontics, P.a. | Dentist | 101 Lake Street West, Suite 100, Wayzata, MN 55391 | 2016-12-30 |
| 1952763351 | Watershed Psychological Services | Clinic/Center | 4255 Pheasant Ridge Drive, Suite 412, Blaine, MN 55391 | 2016-03-24 |
| 1477923571 | Robert J. Floren | Marriage & Family Therapist | 801 Twelve Oaks Center Dr Ste 816a, Wayzata, MN 55391 | 2015-10-01 |
| 1194101055 | Bruce Martinson Family & Cosmetic Dentistry | Dentist | 317 E Wayzata Blvd, Wayzata, MN 55391 | 2015-08-03 |
| Find all providers in zip 55391 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003888512 | Linda Nielsen Sedgwick | Registered Nurse | 250 N Central Ave, # 101, Wayzata, MN 55391 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975419 | Shayna Hamiel | Registered Nurse | 2117 Pine Ridge Rd S, Mora, MN 55051-6821 | 2020-06-04 |
| 1689298309 | Bonita Perrine | Registered Nurse | 135 Hatinen Rd, Esko, MN 55733-9525 | 2020-05-29 |
| 1780207738 | Morgan Andrea Abens | Registered Nurse | 10101 Bren Rd E Unit 412, Eden Prairie, MN 55343-0059 | 2020-05-26 |
| 1659994648 | Andree Wilson-nixa | Registered Nurse | 15203 Maryland Ave, Savage, MN 55378-1386 | 2020-05-25 |
| 1992328314 | Amanda M Totenberg | Registered Nurse | 5320 47th Ave S, Minneapolis, MN 55417-2314 | 2020-05-20 |
| 1568092161 | Meredith Doran | Registered Nurse | 4155 30th Ave S, Minneapolis, MN 55406-3129 | 2020-01-22 |
| 1194289389 | Shanna Miko | Registered Nurse | 4655 Yellowstone Ln N, Plymouth, MN 55446-3764 | 2019-01-22 |
| 1962725960 | Vicki Lynn Roff | Registered Nurse | 1231 5th Street Nw, Bemidji, MN 56601 | 2010-03-04 |
| 1720052343 | Carolyn Marie Veglia Young | Registered Nurse | 2525 Chicago Avenue South, Children's Hospitals and Clinic of Minnesota, Minneapolis, MN 55404 | 2006-02-13 |
| 1063485514 | Kelly Ann Boie | Registered Nurse | 14001 Ridgedale Dr, Ste 100, Minnetonka, MN 55305-1781 | 2006-02-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.