Doctor Name: | KARLA JEAN LIND |
NPI Number: | 1023440294 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | R124620-3 |
Business Practice Address: | 11725 Stinson Ave Chisago City, MN - 550139542 |
Business Phone Number: | 6516744570 |
Business Fax Number: | |
Mailing Address: | Po Box 813, 5366 386th Street NORTH BRANCH |
State: | MN |
Postal Code: | 550560813 |
Phone Number: | 6516744570 |
Fax Number: | 8556744570 |
NPI Enumeration Date: | 07/30/2013 |
NPI Last Update Date: | 07/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R124620-3 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |