Individual
KHAMAL MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN MSN FNP-C
Contact information
Practice address
3501 CRANBERRY BLVD, WESTON, WI 54476-5213
(715) 393-1000
Mailing address
3052 CATES LN SW, ROCHESTER, MN 55902-1655
(507) 358-3366
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
03180726
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
F03180726
MN
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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