Individual
KATHLEEN MEREDITH HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC, ARNP
Contact information
Practice address
1155 FORD RD STE B, ST LOUIS PARK, MN 55426-1115
(952) 378-1800
(952) 378-1714
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132004
IA
163W00000X
Registered Nurse
2536446
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12901
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G163773
IA
Other
Enumeration date
05/19/2021
Last updated
06/18/2025
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