Healthcare Provider Details

I. General information

NPI: 1982918967
Provider Name (Legal Business Name): CARA HERRMANN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARA HECKMANN FNP

II. Dates (important events)

Enumeration Date: 08/02/2010
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7235 OHMS LN
EDINA MN
55439-2148
US

IV. Provider business mailing address

7235 OHMS LN
EDINA MN
55439-2148
US

V. Phone/Fax

Practice location:
  • Phone: 952-841-2345
  • Fax: 952-841-2346
Mailing address:
  • Phone: 952-841-2345
  • Fax: 952-841-2346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR161482-2
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: