Healthcare Provider Details

I. General information

NPI: 1982532479
Provider Name (Legal Business Name): KATHERYNN ALDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WASHINGTON AVE S STE 900
MINNEAPOLIS MN
55401-2455
US

IV. Provider business mailing address

24 STREETER RD
HUBBARDSTON MA
01452-1433
US

V. Phone/Fax

Practice location:
  • Phone: 800-921-3368
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2336224
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: