Individual
KATIE ELIZABETH FARRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-8383
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-4202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101999
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2023
Last updated
05/11/2023
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