Individual
KRISTINE MARIE CARLSON TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
516 DELAWARE ST SE, FIRST FLOOR PWB, CLINIC 1-C, MINNEAPOLIS, MN 55455-0356
(612) 626-3444
Mailing address
420 DELAWARE ST SE, MMC 395, MINNEAPOLIS, MN 55455-0341
(612) 626-3444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R-144891-7
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
R-144891-7
MN
Other
Enumeration date
01/11/2007
Last updated
09/11/2025
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