Individual
MS. ELIZABETH MARIA KUCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416-1670
(952) 345-3213
(884) 593-1082
Mailing address
7455 N SHORE CIR N, FOREST LAKE, MN 55025-8710
(443) 794-2549
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
9133
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
9133
MN
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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