Individual
KECIA HAYSLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1800 2ND ST NE, MINNEAPOLIS, MN 55418-4306
(612) 789-1236
Mailing address
1800 2ND ST NE, MINNEAPOLIS, MN 55418-4306
(612) 789-1236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-163910-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R-163910-8
NURSING LICENSE
MN
Enumeration date
04/29/2014
Last updated
04/29/2014
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