Dettmer, Kristin M

Dettmer, Kristin M is an individual health care provider with primary practice located at 345 North Smith Ave Childrens Hospitals And Clinics Of Minnesota, St Paul MN 55102. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dettmer, Kristin M can be contacted via phone (651) 220-6914.

Contact Information

Primary practice address
345 North Smith Ave Childrens Hospitals And Clinics Of Minnesota St Paul MN 55102
Phone: (651) 220-6914
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R1307278 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R1307278 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R1307278 Minnesota

Profile Details

NPI number 1851478895
LBN Legal business name Dettmer, Kristin M
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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