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

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X10702 (MN)
Gerontology Nurse Practitioner 363LG0600X10702 (MN)
Primary Care Nurse Practitioner Primary 363LP2300X10702 (MN)

Primary Care Nurse Practitioner: Definition to come...

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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.