Individual
KRISTIN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1719 6TH AVE W, SHAKOPEE, MN 55379-2007
(952) 797-4287
Mailing address
10930 SPOON RDG, EDEN PRAIRIE, MN 55347-2956
(952) 807-6045
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 71147-0
MN
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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