Super, Katelin

Super, Katelin is an individual health care provider with primary practice located at 401 Carlson Pkwy , Minnetonka MN 55305-5359. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Super, Katelin can be contacted via phone (952) 992-3581.

Contact Information

Primary practice address
401 Carlson Pkwy Minnetonka MN 55305-5359
Phone: (952) 992-3581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X PENDING Minnesota

Profile Details

NPI number 1386168631
LBN Legal business name Super, Katelin
Credentials APRN CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2017
Last updated Jul 21st, 2022 - about 2 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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