Hultgren, Krista Jane

Hultgren, Krista Jane is an individual health care provider with primary practice located at 3433 Broadway St Ne Ste 300 , Minneapolis MN 55413-1761. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Hultgren, Krista Jane can be contacted via phone (763) 587-7737.

Contact Information

Primary practice address
3433 Broadway St Ne Ste 300 Minneapolis MN 55413-1761
Phone: (763) 587-7737
Fax: (763) 587-7069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2737 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2737 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 03242493 Minnesota

Profile Details

NPI number 1699752535
LBN Legal business name Hultgren, Krista Jane
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jun 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699752535 NPPES
Minnesota MEDICAID 108443700

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