| Doctor Name: | MRS. JUNIA CAMPOS KIMIZUKA-CONNIFF |
| NPI Number: | 1477960854 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 183754-4 |
| Business Practice Address: | 110 Olson Blvd Cokato, MN - 55321 |
| Business Phone Number: | 3202862123 |
| Business Fax Number: | |
| Mailing Address: | 10411 Wyoming Ave S, BLOOMINGTON |
| State: | MN |
| Postal Code: | 554382027 |
| Phone Number: | 5073587262 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2014 |
| NPI Last Update Date: | 07/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 183754-4 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |