Individual
MS. KIM NOREEN GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1703 BRADACH RD, ELY, MN 55731-8041
(218) 365-8016
Mailing address
1703 BRADACH RD, ELY, MN 55731-8041
(218) 365-8016
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R-163989-4
MN
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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