Individual provider · NPI-1
Kelly Awes, CNP
Nurse Practitioner · Saint Cloud, MN
NPI number1619429180
StatusActive
Last updated in NPPESOct 31, 2016
Details
- NPI
- 1619429180
- Entity type
- Individual (NPI-1)
- Name
- Kelly Awes
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2016
- Last updated
- Oct 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | CNP4849 | MN | Yes |
Practice location
1200 6th Ave NSaint Cloud, MN 56303-2735
Phone 320-252-5131 · Fax 320-255-5973
Mailing address
1200 6th Ave NSaint Cloud, MN 56303-2735
Phone 320-252-5131 · Fax 320-255-5973
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