Individual
KATHLEEN A NESSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
81088
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-01209
MEDICA
MN
01
—
9D456DO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/15/2006
Last updated
11/28/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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