Provider Demographics
NPI:1497437289
Name:BROWMAN, KRISTINA LYN
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:LYN
Last Name:BROWMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6380 SAINT JOHNS DR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55346-1733
Mailing Address - Country:US
Mailing Address - Phone:612-741-9552
Mailing Address - Fax:
Practice Address - Street 1:6380 SAINT JOHNS DR
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55346-1733
Practice Address - Country:US
Practice Address - Phone:612-741-9552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach