Kathryn Joan Tietz, NP
Nurse Practitioner, Family in Minneapolis, MN. Individual provider (NPI-1).
NPI number1043095656
StatusActive
Last updated in NPPESApr 22, 2024
Details
- NPI
- 1043095656
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Joan Tietz
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2023
- Certification date
- Apr 22, 2024
- Last updated
- Apr 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 10622 | MN | Yes |
| 363L00000X | Nurse Practitioner | 10622 | MN |
Other names
- Kathryn Joan Traynor (Former Name)
Practice location
800 E 28th St Ste H2100Minneapolis, MN 55407-3723
Phone 612-863-3900 · Fax 612-775-3199
Mailing address
2925 Chicago AveMinneapolis, MN 55407-1321
Phone 612-262-9000
Other practice locations
920 E 28th St Ste 300
Minneapolis, MN 55407-1195
Minneapolis, MN 55407-1195
Phone 612-863-3963 · Fax 612-863-1681
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