Individual
KASI ZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2301 CONNECTICUT AVE S, SARTELL, MN 56377-2474
(320) 229-1500
Mailing address
1811 HIGHLAND TRL, SAINT CLOUD, MN 56301-7505
(320) 429-5566
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7422
MN
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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