Individual
KRISTIN LYNN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3007 HARBOR LANE NORTH, PARK NICOLLET CLINIC PLYMOUTH - FAMILY MEDICINE, PLYMOUTH, MN 55447
(952) 993-8900
(952) 993-8955
Mailing address
3007 HARBOR LANE NORTH, PARK NICOLLET CLINIC PLYMOUTH - FAMILY MEDICINE, PLYMOUTH, MN 55447
(952) 993-8900
(952) 993-8955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R121426-4
MN
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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