Individual
KATHRYN ANN SIVANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
10134 IBIS ST NW, COON RAPIDS, MN 55433-4714
(612) 910-5522
Mailing address
10134 IBIS ST NW, COON RAPIDS, MN 55433-4714
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R-191967-9
MN
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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