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