Individual
KRISTA LYNN BAHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2480 S COUNTY ROAD 45, OWATONNA, MN 55060-5113
(612) 454-2128
Mailing address
8475 HENNEPIN WAY, MORRISTOWN, MN 55052-5002
(507) 210-9052
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0661795
MN
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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