Individual
GISLI KORT KRISTOFERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CNS
Contact information
Practice address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
(612) 638-0685
Mailing address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
(612) 638-0685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R- 176318-4
MN
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
2008005899
MN
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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