Provider Demographics
NPI:1407739857
Name:BROWN, KRISTINA MARIE MAY (LPN)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:MARIE MAY
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:KRISTINA
Other - Middle Name:MARIE MAY
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:740 KAY AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-6014
Mailing Address - Country:US
Mailing Address - Phone:651-328-2120
Mailing Address - Fax:
Practice Address - Street 1:740 KAY AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-6014
Practice Address - Country:US
Practice Address - Phone:651-328-2120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN816870164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse