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Individual

ISABELLE MARIE HEIER KRISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2530 CHICAGO AVE, CSC 390, MINNEAPOLIS, MN 55404-4289
(612) 813-6938
Mailing address
2530 CHICAGO AVE # CSCG055, MINNEAPOLIS, MN 55404-4289
(612) 813-6938
(612) 813-6953

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 194191-9
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
IA
05
ENROLLED
MN
Enumeration date
04/18/2011
Last updated
05/02/2018
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