Individual
KRISTINA LEE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1025 10TH AVE NE, DEER RIVER, MN 56636-8703
(218) 246-8275
Mailing address
115 10TH AVE NE STE A, DEER RIVER, MN 56636-8795
(218) 246-8275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R184504-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023396736
—
MN
Enumeration date
07/29/2011
Last updated
07/18/2012
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