Individual
KRISTEN MANDERSCHIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R166514-0
MN
363LF0000X
Family Nurse Practitioner
CNP1490
MN
Other
Enumeration date
08/04/2014
Last updated
02/26/2025
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