Individual provider · Type 1 NPI

Kathryn Lynn Houselog, ANP

Adult Health Nurse Practitioner · St. Louis Park, MN

NPI number 1053577080 Active

Practice location

3850 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Fax (952) 993-1750

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 910 E 26th St, Suites 100 & 200, Minneapolis, MN 55404-4526 · (612) 884-6300

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X148848-5 (MN)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1053577080

Kathryn Lynn Houselog, ANP's National Provider Identifier is 1053577080, issued on Jul 30, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 2, 2022.