person
Kimberly Dawn Pettinelli, NP
Nurse Practitioner in Hibbing, Minnesota
NPI 1659664852

Kimberly Dawn Pettinelli is a Nurse Practitioner based in Hibbing, MN. Kimberly Dawn Pettinelli practices in Hibbing, MN and has the professional credentials of NP. The NPI Number for Kimberly Dawn Pettinelli is 1659664852 and holds a License No. 129504-7 (Minnesota).

The current practice location address for Kimberly Dawn Pettinelli is 3605 Mayfair Ave, Hibbing, MN and can be reached out via phone at 218-262-3441 and via fax at 218-362-6908.

Location: 3605 Mayfair Ave, Hibbing, MN, 55746-2935
person
Provider Profile Details
NPI Number
1659664852
Provider Name
Kimberly Dawn Pettinelli
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3605 Mayfair Ave, Hibbing, MN, 55746-2935
Phone Number
218-262-3441
Fax Number
218-362-6908
Provider Enumeration Date
05/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1659664852 05 MN
500006831 01 MN MN MEDICARE NUMBER PTAN
institution
Provider Business Practice Location Address Details
Address
3605 Mayfair Ave
City
State
Zip
55746-2935
Phone Number
218-262-3441
Fax Number
218-362-6908
person
Provider Business Mailing Address Details
Address
3605 Mayfair Ave
City
State
Zip
55746-2935
Phone Number
218-262-3441
Fax Number
218-362-6908
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
129504-7 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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