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

Katherine Wahl

Individual provider Pediatric Registered Nurse · NPI 1609384973

Katherine Wahl is a Pediatric Registered Nurse in Rogers, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2018
Specialties on file
2

Practice location Address checks out

13980 Northdale Blvd
Rogers, MN 55374
Phone: (763) 428-1920
Fax: (612) 874-2916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Park Ave, Minneapolis, MN 55415-1623 — (612) 873-3000

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 6045 (MN)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 2230470 (MN)

Record details

NPI number1609384973
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 19, 2018
Last updated in NPPESNovember 16, 2018
Mailing address13980 Northdale Blvd, Rogers, MN 55374-2147