Individual
KRISTINE MANNCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6405 FRANCE AVE S, STE W200, EDINA, MN 55435
(952) 924-9005
(952) 924-0330
Mailing address
6405 FRANCE AVENUE S, STE W200, EDINA, MN 55435
(952) 924-9005
(952) 924-0330
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R104762-2
MN
Other
Enumeration date
12/29/2005
Last updated
05/24/2012
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