Individual
MRS. KRISTEN M GILLEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1880 N FRONTAGE RD, HASTINGS, MN 55033-2687
(651) 438-1880
Mailing address
1880 N FRONTAGE RD, HASTINGS, MN 55033-2687
(651) 436-1800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
715
MN
363LF0000X
Family Nurse Practitioner
Primary
715
MN
363LF0000X
Family Nurse Practitioner
R-162672-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261988100
—
MN
01
—
P00348432
RR MEDICARE
MN
Enumeration date
08/10/2005
Last updated
03/11/2021
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