Provider Demographics
NPI:1396228912
Name:KPUINEN, BARIAALA B (DNP, FNP-BC, CNP)
Entity Type:Individual
Prefix:DR
First Name:BARIAALA
Middle Name:B
Last Name:KPUINEN
Suffix:
Gender:F
Credentials:DNP, FNP-BC, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 124TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-5341
Mailing Address - Country:US
Mailing Address - Phone:612-353-7161
Mailing Address - Fax:
Practice Address - Street 1:1725 124TH AVE NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-5341
Practice Address - Country:US
Practice Address - Phone:612-353-7161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6131363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily