MEDICARE: KATIE MARIE CLABO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	6688	MN

General Provider Information

NPI Number	:	1457910341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE MARIE CLABO

Provider Business Mailing Address
First Line	:	9875 HOSPITAL DR
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-4648
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9875 HOSPITAL DR
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-4648
Country	:	US
Telephone Number	:	763-581-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2019
Last Update Date	:	02/10/2026

Similar Medicare Providers

1023014438 — NICOLE T LOWE M.D.
Practice Location Address:

9855 HOSPITAL DR
MAPLE GROVE, MN
55369-4648

Practice Phone: 763-581-9220
Practice Fax: 763-581-9221

1881690097 — MINNESOTA NEONATAL PHYSICIANS PA
Practice Location Address:

9875 HOSPITAL DR
MAPLE GROVE, MN
55369-4648

Practice Phone: 612-322-6903
Practice Fax:

1073597381 — DR. MARK S HENCH M.D.
Practice Location Address:

9855 HOSPITAL DR , STE 102A
MAPLE GROVE, MN
55369-4648

Practice Phone: 763-581-9220
Practice Fax:

1356312722 — MR. AHMED ALI OMAR M.D.
Practice Location Address:

9875 HOSPITAL DR , SUITE 3009
MAPLE GROVE, MN
55369-4648

Practice Phone: 763-581-1370
Practice Fax: 763-581-3007

1336117480 — MAISA ALVES PEBBLES CNP
Practice Location Address:

9855 HOSPITAL DR STE 102A
MAPLE GROVE, MN
55369-4648

Practice Phone: 763-581-9220
Practice Fax: 763-581-9221

1346286838 — LESLEE J JAEGER M.D.
Practice Location Address:

9875 HOSPITAL DR
MAPLE GROVE, MN
55369-4648

Practice Phone: 763-581-1100
Practice Fax:

Directions to “ KATIE MARIE CLABO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.