Individual
JEANNIE D KANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP, AE-C
Contact information
Practice address
1110 YANKEE DOODLE RD, EAGAN, MN 55121-2092
(651) 454-3970
(551) 241-0059
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0849083
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142227800
—
MN
Enumeration date
04/03/2006
Last updated
05/08/2013
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