Provider Demographics
NPI:1801085436
Name:MCNAUL, KATHRYN ANN (NP)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:ANN
Last Name:MCNAUL
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 GRAND AVE
Mailing Address - Street 2:WINTON HEALTH SERVICES
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-1801
Mailing Address - Country:US
Mailing Address - Phone:651-696-6276
Mailing Address - Fax:651-696-6687
Practice Address - Street 1:1600 GRAND AVE
Practice Address - Street 2:WINTON HEALTH SERVICES
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1801
Practice Address - Country:US
Practice Address - Phone:651-696-6276
Practice Address - Fax:651-696-6687
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR 076869-8363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health