Individual
KRISTINE MARY CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 CENTRAL PARK VILLAGE DR, EAGAN, MN 55121-7707
(651) 406-8860
Mailing address
1611 73RD ST W, INVER GROVE HEIGHTS, MN 55077-2001
(320) 260-9224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5276
MN
Other
Enumeration date
08/14/2017
Last updated
07/24/2020
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