Individual provider · Type 1 NPI
Courtney Kiesow, NP
Women's Health Nurse Practitioner · Minneapolis, MN
NPI number
1750759502
Active
Practice location
525 Portland Ave
Minneapolis, MN 55415-1533
Fax (612) 596-7900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | CNP4185 (MN) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | CNP4185 (MN) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1750759502
Courtney Kiesow, NP's National Provider Identifier is 1750759502, issued on Sep 10, 2015. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 22, 2024.