NPI 1851478895 · live from the CMS NPI Registry
Kristin M Dettmer, APRN
Nurse Practitioner, Pediatrics in St Paul, MN. National Provider Identifier 1851478895, active.
NPI record
| NPI | 1851478895 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 345 North Smith Ave, Childrens Hospitals And Clinics Of Minnesota, St Paul, MN 55102 |
| Practice phone | 651-220-6914 |
| Mailing address | 2910 Centre Pointe Dr 35-121a, Childrens Health Care, Roseville, MN 55113 |
| Enumerated | November 1, 2006 |
| Last updated | November 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 357 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.