Individual
MRS. KRISTEL MARLENA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
1125 SE 6TH ST, WILLMAR, MN 56201
(320) 235-4613
(320) 231-9141
Mailing address
1770 1ST ST N, WILLMAR, MN 56201
(320) 235-4613
(320) 231-9141
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
R-075272-7
MN
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R-075272-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012046
PREFERRED ONE
—
01
—
8374115
UBH
—
01
—
99F41HA
BLUE CROSS
—
Enumeration date
01/05/2006
Last updated
09/11/2025
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