Individual
KIMBERLY NORTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101
(651) 254-4887
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5531-33
WI
363LF0000X
Family Nurse Practitioner
Primary
2288901
MN
Other
Enumeration date
10/24/2013
Last updated
10/18/2022
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