Healthcare Provider Details

I. General information

NPI: 1659286862
Provider Name (Legal Business Name): KRISTIN FRENCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13834 208TH ST
MILACA MN
56353-3076
US

IV. Provider business mailing address

13834 208TH ST
MILACA MN
56353-3076
US

V. Phone/Fax

Practice location:
  • Phone: 507-360-7226
  • Fax:
Mailing address:
  • Phone: 507-360-7226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number2303941
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: