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Individual

CRISTA B WENISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
14000 NICOLLET AVE STE 304, BURNSVILLE, MN 55337-5784
(952) 898-1600
Mailing address
14000 NICOLLET AVE STE 304, BURNSVILLE, MN 55337-5784
(952) 898-1600

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A-117142
IA
363LF0000X
Family Nurse Practitioner
Primary
R217101-8
MN

Other

Enumeration date
02/03/2012
Last updated
02/10/2021
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