IndividualActive
Caylynn Wallace-Marcelle, ARNP, CPNP
NPI 1861558835 · Pediatric Nurse Practitioner · Golden Valley, MN
Provider details
- NPI number
- 1861558835
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP, CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- R180936-5 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8441 Wayzata Blvd
Ste 140
Golden Valley, MN 55426-1366
Phone: (651) 769-6300
Fax: (651) 769-6349
Approximate (ZIP-level) locationGet directions
Mailing address
2497 7th Avenue E
North St Paul, MN 55109-2946
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2022-09-13
- Certified
- 2022-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.