Healthcare Provider Details

I. General information

NPI: 1487710067
Provider Name (Legal Business Name): KRISTIN LEIGH BUEHLER WEBER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 NICOLLET MALL STE 1149
MINNEAPOLIS MN
55402-2750
US

IV. Provider business mailing address

825 NICOLLET MALL STE 1149
MINNEAPOLIS MN
55402-2750
US

V. Phone/Fax

Practice location:
  • Phone: 612-338-3333
  • Fax: 612-349-3838
Mailing address:
  • Phone: 612-338-3333
  • Fax: 612-349-3838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR1204229
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: