Individual
KRISTEN ANNA GORNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6637
MN
363LF0000X
Family Nurse Practitioner
AP60495439
WA
363LF0000X
Family Nurse Practitioner
R29871
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215365648
—
WA
Enumeration date
10/22/2013
Last updated
06/27/2025
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