Lindblom, Kristen Ann

Lindblom, Kristen Ann is an individual health care provider with primary practice located at 1420 London Rd Ste 210 , Duluth MN 55805-2422. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lindblom, Kristen Ann can be contacted via phone (218) 728-6160.

Contact Information

Primary practice address
1420 London Rd Ste 210 Duluth MN 55805-2422
Phone: (218) 728-6160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 142804 Wisconsin

Profile Details

NPI number 1972589034
LBN Legal business name Lindblom, Kristen Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jun 15th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972589034 NPPES
Wisconsin MEDICAID 43980400
Wisconsin Other 419715100

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