Provider Demographics
NPI:1477648988
Name:MICHALSKI, KARI M (APRN CNM)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:M
Last Name:MICHALSKI
Suffix:
Gender:F
Credentials:APRN CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3226 19TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-2402
Mailing Address - Country:US
Mailing Address - Phone:763-350-6909
Mailing Address - Fax:763-710-8141
Practice Address - Street 1:3226 19TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-2402
Practice Address - Country:US
Practice Address - Phone:763-350-6909
Practice Address - Fax:763-710-8141
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN272477000Medicaid
MN272477000Medicaid