KRISTIN ELISABETH DEARRUDA WHARTON APRN FNP-C NPI 1245876614

NPI Information

NPI: 1245876614
Provider Name: KRISTIN ELISABETH DEARRUDA WHARTON, APRN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
915 E 1ST ST
DULUTH, MN
ZIP 55805
Phone: (218) 249-5555
Get Directions

Kristin Elisabeth Dearruda Wharton, APRN, FNP-C is a family nurse practitioner in Duluth, MN with 5 years of experience. Kristin Elisabeth Dearruda Wharton, APRN, FNP-C NPI is 1245876614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

915 E 1ST ST
DULUTH, MN
ZIP 55805-107
Phone: (218) 249-5555

The NPI 1245876614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2019 and was last updated on 12/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	7075	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	16274	OTHER	MINNESOTA	MINNESOTA BOARD OF NURSING- PUBLIC HEALTH NURSE
2	169220-0	OTHER	MINNESOTA	MINNESOTA BOARD OF NURSING
3	7075	OTHER	MINNESOTA	MINNESOTA BOARD OF NURSING- APRN LICENSE
4	11185596	OTHER		INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
5	F09191840	OTHER		AMERICAN ACADEMY OF NURSE PRACTITIONERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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