Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coralie Ann Pederson, WHNP

Individual provider Nurse Practitioner · NPI 1841283074

Coralie Ann Pederson, WHNP is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2008, 18 years ago. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2005
What do these letters mean?
WHNP — Women's Health Nurse Practitioner
A nurse practitioner specialising in women's health.

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Practice location Address checks out

410 Church St SE
Minneapolis, MN 55455-0222
Phone: (612) 625-8400
Fax: (612) 677-3211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0011 (MN)

Record details

NPI number1841283074
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP
Sole proprietorNo
NPI enumeratedAugust 23, 2005
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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