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Individual

MISS KAYLEE MICHAEL ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, NNP-BC

Contact information

Practice address
11107 ULYSSES ST NE STE 100, BLAINE, MN 55434-4264
(763) 333-7721
Mailing address
11107 ULYSSES ST NE STE 100, BLAINE, MN 55434-4264
(763) 333-7721
(763) 333-7711

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14884
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
CNP 4655
MN
363LP0200X
Pediatric Nurse Practitioner
4655
MN
390200000X
Student in an Organized Health Care Education/Training Program
R 202369-0
MN

Other

Enumeration date
04/15/2016
Last updated
01/22/2026
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