IndividualActive
Carmen Henke, CNNP
NPI 1205892833 · Neonatal Nurse Practitioner · St Paul, MN
Provider details
- NPI number
- 1205892833
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNNP
- Sex
- Female
- Sole proprietor
- No
- License
- R1475155 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
347 North Smith Avenue
Childrens Specialty Clinic Nicu
St Paul, MN 55102
Phone: (651) 220-6210
Fax: (651) 220-7777
Approximate (ZIP-level) locationGet directions
Mailing address
2910 Centre Pointe Drive
Roseville, MN 55113
Registry dates
- Enumerated
- 2006-04-22
- Last updated
- 2016-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.