IndividualActive
Heather Lage, RN, CDE
NPI 1003161787 · Diabetes Educator Registered Nurse · Maple Grove, MN
Provider details
- NPI number
- 1003161787
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- RN, CDE
- Sex
- Female
- Sole proprietor
- No
- License
- R 159383-3 (MN)
Specialties & taxonomies
Nursing Service Providers
Practice location
14500 99th Ave N
Maple Grove, MN 55369-4730
Phone: (763) 898-1000
Approximate (ZIP-level) locationGet directions
Mailing address
14500 99th Ave N
Maple Grove, MN 55369-4730
Registry dates
- Enumerated
- 2012-07-18
- Last updated
- 2012-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.