Lindblom, Kristen Ann
Lindblom, Kristen Ann is an individual health care provider with primary practice located at 1420 London Rd Ste 210 , Duluth MN 55805-2422. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lindblom, Kristen Ann can be contacted via phone (218) 728-6160.Contact Information
Primary practice address
1420 London Rd Ste 210
Duluth MN 55805-2422
Phone: (218) 728-6160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 142804 | Wisconsin |
Profile Details
| NPI number | 1972589034 |
|---|---|
| LBN Legal business name | Lindblom, Kristen Ann |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Jun 15th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972589034 | NPPES |
| Wisconsin | MEDICAID | 43980400 | |
| Wisconsin | Other | 419715100 |
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