Individual
KRISTEN MEDHANIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
9300 NOBLE PKWY N, ALLINA MEDICAL CLINIC- BROOKLYN PARK, BROOKLYN PARK, MN 55443-5500
(763) 236-5300
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R190231-4
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
F1014122
MN
Other
Enumeration date
09/03/2014
Last updated
11/10/2020
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