Individual provider · Type 1 NPI

Kristin Cole Sorensen-Tanenbaum, NP-C

Psychiatric/Mental Health Nurse Practitioner · Grand Rapids, MN

NPI number 1992960819 Active

Practice location

413 SE 13th St
Grand Rapids, MN 55744-0015

Mailing address

3125 Willivan Woods
Grand Rapids, MN 55744-8661

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X5112 (MN)
Family Nurse Practitioner 363LF0000XR160645 (MD)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XR160645 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1992960819

Kristin Cole Sorensen-Tanenbaum, NP-C's National Provider Identifier is 1992960819, issued on Jul 21, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Rapids, MN. The record was last updated on Sep 28, 2020.