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Contact Information

KRISTIN L SPENCER, CNP
3007 HARBOR LANE NORTH
PARK NICOLLET CLINIC PLYMOUTH - FAMILY MEDICINE
PLYMOUTH, MN55447
 Phone: 952-993-8900
 Fax: 952-993-8955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KRISTIN L SPENCER · (Female)

NPI # 1396097069
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 10/05/2012
Last updated 10/05/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # R121426-4
Hospital affiliation(s)
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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