Individual provider · Type 1 NPI

Ingrid Cresencio, CNP

Gerontology Nurse Practitioner · St. Cloud, MN

NPI number 1972067205 Active

Practice location

1406 6th Ave N
St. Cloud, MN 56303-1900

Mailing address

8484 Knollwood Dr
St. Paul, MN 55112-6136

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X6408 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1972067205

Ingrid Cresencio, CNP's National Provider Identifier is 1972067205, issued on Jan 31, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Cloud, MN. The record was last updated on Jan 31, 2019.