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Individual

KRISTA JANE HULTGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GNP

Contact information

Practice address
5200 DOUGLAS DR N, CRYSTAL, MN 55429-3104
(888) 290-1209
(833) 973-3527
Mailing address
11401 HEATHER ST NW, COON RAPIDS, MN 55433-3453

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2737
MN
363LG0600X
Gerontology Nurse Practitioner
03242493
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
2737
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108443700
MN
Enumeration date
12/30/2005
Last updated
07/23/2025
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