Individual
KATHLEEN A NESSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3712
(612) 904-4293
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6005
(612) 630-8242
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
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