Individual
KELLY RAE NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302580
MN
363L00000X
Nurse Practitioner
9891
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9891
MN
Other
Enumeration date
01/27/2023
Last updated
09/15/2025
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