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

Lisa Berntson Dornick, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1992743884

Lisa Berntson Dornick, PNP is a Pediatric Nurse Practitioner in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

250 S 4th St
Minneapolis, MN 55415-1384
Phone: (612) 673-2301
Fax: (612) 673-3866
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence R-101808-8 (MN)

Record details

NPI number1992743884
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESSeptember 21, 2012

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