Individual provider · Type 1 NPI

Kelly R. Ihry, C.N.P.

Nurse Practitioner · Maple Grove, MN

NPI number 1508199423 Active

Practice location

9825 Hospital Dr, #205
Maple Grove, MN 55369

Call (763) 587-7000 Map

Fax (763) 587-7015

Mailing address

5700 Bottineau Blvd, #210
Crystal, MN 55429

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	R174987-8 (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 1508199423

Kelly R. Ihry, C.N.P.'s National Provider Identifier is 1508199423, issued on Sep 10, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Maple Grove, MN. The record was last updated on Mar 10, 2015.