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1699752535 NPI number — KRISTA JANE HULTGREN GNP

NPI Number: 1699752535
Health Care Provider/Practitioner: KRISTA JANE HULTGREN GNP

Information about “1699752535” NPI (KRISTA JANE HULTGREN GNP) exists in 1699752535 in HTML format HTML  |  1699752535 in plain Text format TXT  |  1699752535 in PDF (Portable Document Format) PDF  |  1699752535 in an XML format XML  formats.

NPI Number : 1699752535 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699752535",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HULTGREN",
    "FirstName": "KRISTA",
    "MiddleName": "JANE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "GNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NABER",
    "OtherFirstName": "KRISTA",
    "OtherMiddleName": "JANE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "11401 HEATHER ST NW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COON RAPIDS",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55433-3453",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5200 DOUGLAS DR N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CRYSTAL",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55429-3104",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-290-1209",
    "PracticeLocationAddressFaxNumber": "833-973-3527",
    "EnumerationDate": "12/30/2005",
    "LastUpdateDate": "07/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "2737",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "03242493",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "2737",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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