Individual
KJERSTI OLIVIA VAN BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
715 S 8TH ST, MINNEAPOLIS, MN 55404-7530
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11316
MN
Other
Enumeration date
03/28/2024
Last updated
10/28/2024
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