Individual
KIMBERLY LOUISE EDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 2ND ST NE, NEW PRAGUE, MN 56071-1709
(952) 758-4431
Mailing address
MCHS MN PROVIDER ENROLLMENT 200 1ST ST SW, ROCHESTER, MN 55905-1000
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4380
MN
363LA2200X
Adult Health Nurse Practitioner
CNP 4380
MN
Other
Enumeration date
10/07/2015
Last updated
10/11/2024
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