Individual provider · Type 1 NPI

Kerriann Godwin

Nurse Practitioner · Elk River, MN

NPI number 1487276556 Active

Practice location

530 3rd St NW
Elk River, MN 55330-1445

Fax (763) 587-4885

Mailing address

8170 33rd Ave S
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X7455 (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 1487276556

Kerriann Godwin's National Provider Identifier is 1487276556, issued on May 12, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Elk River, MN. The record was last updated on Nov 11, 2020.