Kim Noreen Garrett, APRN

Individual provider Active NPI Acute Care Nurse Practitioner · Ely, MN

NPI 1851635502 · NPPES record last updated Nov 19, 2012

Key facts

NPI
1851635502
Entity type
Individual (NPI type 1)
Primary specialty
Acute Care Nurse Practitioner 363LA2100X
License
R-163989-4 (MN)
Practice address
1703 Bradach Rd
Ely, MN 55731-8041
Phone
(218) 365-8016
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R-163989-4MNMDAcute Care Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R-163989-4 MN Yes

Addresses

Primary practice location

1703 Bradach Rd
Ely, MN 55731-8041

Mailing address

1703 Bradach Rd
Ely, MN 55731-8041
Phone (218) 365-8016

Other providers in Ely, MN

All providers in Ely, MN · Acute Care Nurse Practitioner in Minnesota

Sources for this page

Verify at the official NPI Registry.