Individual
KRISTA MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
995 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4796
(651) 771-2420
(651) 771-2421
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
244232-3
MN
363L00000X
Nurse Practitioner
Primary
10154
MN
Other
Enumeration date
03/28/2017
Last updated
09/27/2023
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