Individual provider · Type 1 NPI

Kimberly De Paulo

Nurse Practitioner · Owatonna, MN

NPI number 1417308701 Active

Practice location

2200 NW 26th St
Owatonna, MN 55060

Other practice locations

  • 200 1st St SW, Rochester, MN 55905-0001 · (507) 284-2511
  • 200 1st St SW, Rochester, MN 55905-0001 · (507) 284-2511

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XR204304 (MD)
Nurse Practitioner 363L00000X2445948 (MN)
Nurse Practitioner Primary 363L00000X5070 (MN)

Nurse Practitioner: (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 wit…

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About NPI 1417308701

Kimberly De Paulo's National Provider Identifier is 1417308701, issued on Jun 28, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Owatonna, MN. The record was last updated on Oct 5, 2020.