Female

Kristin M. Grage CNP

Adult Health Nurse Practitioner in Minneapolis, MN(View on Map)

Full Name

Kristin Marie Grage CNP

NPI Number

1396783346

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/03/2006

Specialties

(Taxonomies)

Code

363LA2200X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

R90059 5

Contact
Information

Purpose

Mailing
Location

Address

2315 5TH ST NE
701 PARK AVE

City

Minneapolis
Minneapolis

State

MN
MN

Postal Code

55418-3503
55415-1623

Country

US
US

Telephone Number

(612) 788-4047
(612) 873-2700

Identifiers

Identifier

424223800

Identifier State

MN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/16/2008

Provider Address

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