Individual
MRS. KRISTIN ROSE PHAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6602 LACASSE DR, LINO LAKES, MN 55038-7703
(612) 306-8555
Mailing address
6602 LACASSE DR, LINO LAKES, MN 55038-7703
(612) 306-8555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6491
MN
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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