Individual
CHRISTINA MARIE WIEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNS-BC, CNP
Contact information
Practice address
800 E 28TH ST, 2ND FLOOR WEST, MINNEAPOLIS, MN 55407-3723
(612) 863-4408
(612) 775-4120
Mailing address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7163
(651) 232-0201
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
214
MN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
214
MN
208VP0000X
Pain Medicine Physician
Primary
214
MN
363L00000X
Nurse Practitioner
6650
MN
364S00000X
Clinical Nurse Specialist
210007087
MN
Other
Enumeration date
03/08/2012
Last updated
07/04/2019
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