Provider Demographics
NPI:1932436136
Name:SVENDSEN, KATHRYN MARIE (RN, CNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:MARIE
Last Name:SVENDSEN
Suffix:
Gender:F
Credentials:RN, CNP
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Mailing Address - Street 1:1323 COON RAPIDS BLVD NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-5307
Mailing Address - Country:US
Mailing Address - Phone:763-755-5300
Mailing Address - Fax:763-755-5301
Practice Address - Street 1:1323 COON RAPIDS BLVD NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-5307
Practice Address - Country:US
Practice Address - Phone:763-755-5300
Practice Address - Fax:763-755-5301
Is Sole Proprietor?:No
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR801526363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology