Individual provider · Type 1 NPI
Kay T. Wasyliszyn, DNP, AGNP-C, CNP, RN
Primary Care Nurse Practitioner · Fridley, MN
NPI number
1710763354
Active
Practice location
480 Osborne Rd NE Ste 220
Fridley, MN 55432-2866
Fax (763) 780-3099
Mailing address
574 Marshall Ave
St. Paul, MN 55102-1723
Other practice locations
- 500 Harvard St SE, Minneapolis, MN 55455-0363 · (612) 273-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 10702 (MN) |
| Gerontology Nurse Practitioner | 363LG0600X | 10702 (MN) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 10702 (MN) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Fridley
About NPI 1710763354
Kay T. Wasyliszyn, DNP, AGNP-C, CNP, RN's National Provider Identifier is 1710763354, issued on Sep 7, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fridley, MN. The record was last updated on Oct 16, 2023.