Healthcare Provider Details

I. General information

NPI: 1972424729
Provider Name (Legal Business Name): KARLYN NESSA HERTER L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4388 FRANCE AVE S STE 260
EDINA MN
55410-1317
US

IV. Provider business mailing address

10101 BREN RD E UNIT 553
HOPKINS MN
55343-0089
US

V. Phone/Fax

Practice location:
  • Phone: 612-516-3184
  • Fax:
Mailing address:
  • Phone: 218-390-4508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2131
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: