Individual provider · Type 1 NPI

Krystle Lacole Oliver

Nurse Practitioner · Minneapolis, MN

NPI number 1417543406 Active

Practice location

100 Washington Ave S
Minneapolis, MN 55401-2110

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	28734 (TN)

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 1417543406

Krystle Lacole Oliver's National Provider Identifier is 1417543406, issued on Dec 15, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 19, 2020.