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Kendall Blue, FNP-C
Family Nurse Practitioner in Plymouth, Minnesota
NPI 1982465472

Kendall Blue is a Family Nurse Practitioner based in Champlin, MN and is specialized in Family. Kendall Blue practices in Plymouth, MN and has the professional credentials of FNP-C. The NPI Number for Kendall Blue is 1982465472 and holds a License No. 11206 (Minnesota).

The current practice location address for Kendall Blue is 15725 37Th Ave N Ste 1, Plymouth, MN and can be reached out via phone at 612-446-8474.

Location: 15725 37Th Ave N Ste 1, Plymouth, MN, 55316-2011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982465472
Provider Name
Kendall Blue
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
15725 37Th Ave N Ste 1, Plymouth, MN, 55316-2011
Phone Number
612-446-8474
Fax Number
Provider Enumeration Date
01/22/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15725 37Th Ave N Ste 1
City
Plymouth
State
Minnesota
Zip
55446-3206
Phone Number
612-446-8474
Fax Number
person
Provider Business Mailing Address Details
Address
15725 37Th Ave N Ste 1
City
Plymouth
State
Minnesota
Zip
55446-3206
Phone Number
612-446-8474
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11206 (Minnesota)
Definition
Definition to come...
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