Individual
KATHRYN EDE-IMAFIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 301-3433
Mailing address
616 5TH ST SE, MINNEAPOLIS, MN 55414-1803
(701) 471-6010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11969
MN
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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