Individual
KATHERINE MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
(651) 602-6885
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
(651) 602-6885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6059
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H400547137
PTAN
MN
Enumeration date
01/17/2019
Last updated
05/24/2019
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