Kristen Engstrom
Nurse Practitioner in Saint Paul, MN. Individual provider (NPI-1).
NPI number1164074787
StatusActive
Last updated in NPPESMar 16, 2021
Details
- NPI
- 1164074787
- Entity type
- Individual (NPI-1)
- Name
- Kristen Engstrom
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2019
- Certification date
- Mar 16, 2021
- Last updated
- Mar 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 6691 | MN | Yes |
Practice location
640 Jackson StSaint Paul, MN 55101-2502
Phone 651-254-3448 · Fax 651-254-3470
Mailing address
8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516
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