Provider Demographics
NPI:1801608088
Name:FRIEDRICHS, KRISTINA CLARE (APRN AGNP-C)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:CLARE
Last Name:FRIEDRICHS
Suffix:
Gender:
Credentials:APRN AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8789 BOULDER RISE
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55347-2420
Mailing Address - Country:US
Mailing Address - Phone:952-913-1216
Mailing Address - Fax:
Practice Address - Street 1:317 WAYZATA BLVD E
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-1683
Practice Address - Country:US
Practice Address - Phone:952-473-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11134363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology