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Freya Kristen Landesman

Nurse Practitioner in Saint Paul, MN. Individual provider (NPI-1).

NPI number1962019596
StatusActive
Last updated in NPPESJan 17, 2025

Details

NPI
1962019596
Entity type
Individual (NPI-1)
Name
Freya Kristen Landesman
Sex
Female
Sole proprietor
No
Enumeration date
Sep 28, 2020
Certification date
Jan 17, 2025
Last updated
Jan 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner11978MNYes
363LF0000X Nurse Practitioner, Family7912371-4405UT

Practice location

640 Jackson St
Saint Paul, MN 55101-2502

Phone 952-967-7977 · Fax 952-883-9676

Mailing address

8170 33rd Ave S # Ms 21110q
Bloomington, MN 55425-4516

Other practice locations

60 E South Temple Ste 300
Salt Lake City, UT 84111-1041

Phone 801-532-8080

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