Individual
KELSEY FAYE HITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 2ND ST S, SARTELL, MN 56377-1977
(320) 251-2600
Mailing address
519 9TH ST SE, EAST GRAND FORKS, MN 56721-2388
(701) 330-8358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2499471
MN
363L00000X
Nurse Practitioner
Primary
9485
MN
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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