Individual
MS. KRISTA KOOP RODBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
9114 OGDEN AVE NE, ELK RIVER, MN 55330-7276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
239723-2
MN
163W00000X
Registered Nurse
RN61107722
WA
163W00000X
Registered Nurse
Primary
RN95202335
CA
163W00000X
Registered Nurse
RN95202335
MN
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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