Individual
KRISTIN LENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 625-7466
Mailing address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5667
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750783908
—
WA
Enumeration date
09/18/2014
Last updated
01/10/2024
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