Individual
KRISTA ELIZABETH NUESSLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101
(651) 254-3456
(651) 254-9673
Mailing address
8170 33RD AVE, MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-3456
(651) 254-9673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10285
MN
363AM0700X
Medical Physician Assistant
10285
MN
Other
Enumeration date
09/06/2007
Last updated
06/24/2019
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