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NPI Code Detail

MEDICARE: KRISTEN MARIE NAASZ PA

MEDICARE: KRISTEN MARIE NAASZ PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant13047MN

General Provider Information

NPI Number : 1326609116
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN MARIE NAASZ PA
Provider Business Mailing Address
First Line : 3400 W 66TH ST STE 265
Second Line :
City : EDINA
State : MN
Zip : 55435-2173
Country : US
Telephone Number : 612-230-8696
Fax Number :
Provider Business Practice Location Address
First Line : 7362 UNIVERSITY AVE NE
Second Line :
City : FRIDLEY
State : MN
Zip : 55432-3142
Country : US
Telephone Number : 612-230-8154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2019
Last Update Date : 10/31/2023

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Directions to “ KRISTEN MARIE NAASZ PA” Practice Location

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