Individual
KELLY I ZELLMER-WAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(126) 262-7800
(612) 262-7022
Mailing address
8170 33RD AVE, MS: 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-3456
(651) 254-9673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP 1343
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
1343
MN
Other
Enumeration date
09/05/2012
Last updated
01/19/2023
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