Provider Demographics
NPI:1407376825
Name:SZYMANSKI, KATIE M (DNP-FNP)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:M
Last Name:SZYMANSKI
Suffix:
Gender:F
Credentials:DNP-FNP
Other - Prefix:MS
Other - First Name:KATE
Other - Middle Name:M
Other - Last Name:MAHOCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1080 2ND ST NW
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7400 33RD ST N STE 100
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-3630
Practice Address - Country:US
Practice Address - Phone:651-241-9240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5263363L00000X
MNF06172090363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner