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Individual

KRISTIN GREATHOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP-AC

Contact information

Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-7838
(612) 273-3203
Mailing address
700 CHILDRENS DR, CARDIOTHORACIC INTENSIVE CARE UNIT, COLUMBUS, OH 43205-2664

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
COA.15230-NP
OH

Other

Enumeration date
11/08/2013
Last updated
09/04/2019
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