Individual provider · Type 1 NPI

Kristine Marie Carlson Talley, GNP

Gerontology Nurse Practitioner · Minneapolis, MN

NPI number 1407906522 Active

Practice location

516 Delaware St SE, First Floor Pwb, Clinic 1-C
Minneapolis, MN 55455-0356

Mailing address

420 Delaware St SE, Mmc 395
Minneapolis, MN 55455-0341

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XR-144891-7 (MN)
Gerontology Nurse Practitioner Primary 363LG0600XR-144891-7 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1407906522

Kristine Marie Carlson Talley, GNP's National Provider Identifier is 1407906522, issued on Jan 11, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 11, 2025.