Individual
JOHN KIIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1026 7TH ST W, SAINT PAUL, MN 55102-3828
(651) 758-9500
Mailing address
1265 HILLTOP CT, MAPLEWOOD, MN 55109-2037
(651) 235-3607
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8860
MN
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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