Individual
KYMBERLY HEATHER CARRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, APRN
Contact information
Practice address
5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416-1670
(952) 345-8770
Mailing address
5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416-1670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2124612
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
9568
MN
Other
Enumeration date
08/03/2022
Last updated
09/29/2022
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