IndividualActive
Stacy Reller, CPNP-AC
NPI 1659820264 · Critical Care Pediatric Nurse Practitioner · Minneapolis, MN
Provider details
- NPI number
- 1659820264
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- License
- CNP 4769 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2530 Chicago Ave Ste 400
Minneapolis, MN 55404
Phone: (612) 813-3300
Fax: (612) 813-3349
Approximate (ZIP-level) locationGet directions
Mailing address
2530 Chicago Ave Ste 400
Minneapolis, MN 55404-4387
Additional practice locations (2)
- 2525 Chicago Ave SMinneapolis, MN 55404-4518Phone: (612) 813-6100
- 2525 Chicago Ave SMinneapolis, MN 55404-4518Phone: (612) 813-6100
Registry dates
- Enumerated
- 2016-09-23
- Last updated
- 2019-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.