Individual
MS. KATIE MICHELLE ANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
303 CATLIN ST, BUFFALO, MN 55313-1947
(612) 669-0365
Mailing address
303 CATLIN ST, BUFFALO, MN 55313-1947
(612) 669-0365
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1703966
MN
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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