Individual
CARRIE KNEISL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, CNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
CNP1579
MN
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
04/22/2012
Last updated
10/24/2015
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