Individual provider · Type 1 NPI
Kimberly Northwick
Family Nurse Practitioner · St. Paul, MN
NPI number
1871921049
Active
Practice location
640 Jackson St
St. Paul, MN 55101
Mailing address
8170 33rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5531-33 (WI) |
| Family Nurse Practitioner Primary | 363LF0000X | 2288901 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1871921049
Kimberly Northwick's National Provider Identifier is 1871921049, issued on Oct 24, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Paul, MN. The record was last updated on Oct 18, 2022.