Individual
KATHLEEN SUE HOLETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1935 COUNTY ROAD B2 W, SUITE 64, ROSEVILLE, MN 55113-2729
(612) 465-9270
Mailing address
1058 BARRETT ST, SAINT PAUL, MN 55103-1313
(651) 600-7715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1226317
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP4522
MN
Other
Enumeration date
05/12/2016
Last updated
02/04/2025
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