IndividualActive
Amy Tannahill
NPI 1295712289 · Pediatric Nurse Practitioner · Eden Prairie, MN
Provider details
- NPI number
- 1295712289
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- License
- R1346459 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11455 Viking Dr
Ste 300
Eden Prairie, MN 55344-7251
Phone: (952) 993-2498
Approximate (ZIP-level) locationGet directions
Mailing address
6465 Wayzata Blvd
Minneapolis, MN 55426-1728
Registry dates
- Enumerated
- 2005-12-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.