Individual
KYRA ISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4194 LEXINGTON AVE N, SHOREVIEW, MN 55126-6106
(651) 483-5461
(651) 483-2155
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2143237
MN
363L00000X
Nurse Practitioner
8963
CT
363LF0000X
Family Nurse Practitioner
Primary
10853
MN
Other
Enumeration date
01/24/2020
Last updated
04/17/2024
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