Individual
KASSANDRA KRYSTON WISELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(320) 282-4326
Mailing address
1701 CENTURY CIR APT 301, WOODBURY, MN 55125-2196
(320) 282-4326
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
2498809
MN
Other
Enumeration date
03/08/2023
Last updated
03/20/2023
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