Individual
ANN KOLAR CHINNAKOTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3900 PARK NICOLLET BLVD, 3RD FLOOR UROLOGY, ST LOUIS PARK, MN 55416-2503
(952) 993-3190
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
704855
TX
363LF0000X
Family Nurse Practitioner
Primary
R199048-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168455701
—
TX
Enumeration date
07/21/2005
Last updated
07/16/2021
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