Individual
KRISTEN HODSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 E FRANKLIN AVE, MINNEAPOLIS, MN 55404
(612) 872-8086
(612) 872-8547
Mailing address
525 PORTLAND AVE, MC: 952, MINNEAPOLIS, MN 55415-1533
(612) 348-3033
(612) 348-7818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 099268-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107816
MEDICA
MN
01
—
49G79HO
BLUE CROSS BLUE SHIELD
MN
01
—
6982979
EVERCARE
MN
01
—
742680100
MEDICAL ASSISTANCE
MN
01
—
HP34129
HEALTHPARTNERS
MN
Enumeration date
08/07/2006
Last updated
08/03/2018
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