Individual provider · Type 1 NPI
Kjersti Olivia Van Bergen, NP
Gerontology Nurse Practitioner · Minneapolis, MN
NPI number
1679324735
Active
Practice location
715 S 8th St
Minneapolis, MN 55404-7530
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Other practice locations
- 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 · (763) 302-4172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 11316 (MN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1679324735
Kjersti Olivia Van Bergen, NP's National Provider Identifier is 1679324735, issued on Mar 28, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 28, 2024.