LEE ANN HERTZOG DONOVAN CPNP NPI 1376516831

NPI Information

  • NPI: 1376516831
  • Provider Name: LEE ANN HERTZOG DONOVAN, CPNP
  • Classification: Registered Nurse - 163WP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 250 N CENTRAL AVE
    #101
    WAYZATA, MN
    ZIP 55391
  • Phone: (952) 473-0211

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NPI Details

Lee Ann Hertzog Donovan, CPNP is a pediatrics registered nurse in Wayzata, MN. Lee Ann Hertzog Donovan, CPNP NPI is 1376516831. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

250 N CENTRAL AVE
#101
WAYZATA, MN
ZIP 55391
Phone: (952) 473-0211
Fax: (952) 473-7908

The enumeration date for this NPI number is 2/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0200XRegistered NursePediatricsR1497120MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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