Individual
MRS. KATHERINE MARIE ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
10081 DOGWOOD ST NW STE 100, COON RAPIDS, MN 55448-5282
(763) 783-3722
(763) 783-7944
Mailing address
10081 DOGWOOD ST NW STE 100, COON RAPIDS, MN 55448-5282
(763) 783-3722
(763) 783-7944
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
101.0047176
VT
363LP0200X
Pediatric Nurse Practitioner
Primary
R-217513-7
MN
Other
Enumeration date
05/12/2009
Last updated
03/17/2018
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