| Doctor Name: | KAMRIE ANN MENZHUBER |
| NPI Number: | 1053729558 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | F0714753 |
| Business Practice Address: | 3633 Bunker Lake Blvd Nw Andover, MN - 553047402 |
| Business Phone Number: | 8663892727 |
| Business Fax Number: | 4016529787 |
| Mailing Address: | 15391 Unity St Nw, ANDOVER |
| State: | MN |
| Postal Code: | 553044837 |
| Phone Number: | 7632267805 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2014 |
| NPI Last Update Date: | 08/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F0714753 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |