Kidder, Janelle Elizabeth

Kidder, Janelle Elizabeth is an individual health care provider with primary practice located at 2104 Northdale Blvd Nw Suite 220, Coon Rapids MN 55433-3028. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kidder, Janelle Elizabeth can be contacted via phone (763) 537-6000.

Contact Information

Primary practice address
2104 Northdale Blvd Nw Suite 220 Coon Rapids MN 55433-3028
Phone: (763) 537-6000
Fax: (763) 537-6666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.006895 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP 3902 Minnesota

Profile Details

NPI number 1437334935
LBN Legal business name Kidder, Janelle Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2008
Last updated Jul 2nd, 2015 - about 11 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 1437334935 NPPES
Illinois Other 209006895 APN LICENSE
Illinois Other CNP 3902 APN LICENSE

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