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Individual

MRS. KRISTI L FEUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 225-1534
Mailing address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 225-1534

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN00081495
WA
363LF0000X
Family Nurse Practitioner
Primary
209.006663
IL
363LF0000X
Family Nurse Practitioner
AP30002333
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0211052
LABOR & INDUSTRIES
WA
01
7785FE
REGENCE BLUE SHIELD
WA
05
9614926
WA
Enumeration date
07/22/2006
Last updated
01/15/2009
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