Individual provider · NPI-1

Kiersten Tdejah Burrell

Case Manager/Care Coordinator · Minneapolis, MN

NPI number1396534756
StatusActive
Last updated in NPPESMay 2, 2025

Details

NPI
1396534756
Entity type
Individual (NPI-1)
Name
Kiersten Tdejah Burrell
Sex
Female
Sole proprietor
No
Enumeration date
May 2, 2025
Certification date
May 2, 2025
Last updated
May 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–MNYes

Practice location

2800 Grand Ave S Apt 111
Minneapolis, MN 55408-2227

Phone 612-702-1215

Mailing address

2800 Grand Ave S Apt 111
Minneapolis, MN 55408-2227

Phone 612-702-1215

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