Individual
KATHLEEN ANN WIDMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
10000 ZANE AVE N, MINNEAPOLIS, MN 55443-1400
(763) 528-6999
Mailing address
2937 29TH AVE S, MINNEAPOLIS, MN 55406-1524
(715) 559-6788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10724
MN
363LF0000X
Family Nurse Practitioner
Primary
10724
MN
Other
Enumeration date
08/30/2023
Last updated
11/22/2023
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