Individual
KRISTA J LOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
3300 FREMONT AVE N, MINNEAPOLIS, MN 55412-2405
(612) 588-9411
(612) 588-8066
Mailing address
3300 FREMONT AVE N, MINNEAPOLIS, MN 55412-2405
(612) 588-9411
(612) 588-8066
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1675696
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912693700
—
MN
Enumeration date
02/22/2006
Last updated
03/10/2014
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