Provider Demographics
NPI:1487710067
Name:WEBER, KRISTIN LEIGH BUEHLER (FNP-C)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:LEIGH BUEHLER
Last Name:WEBER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 NICOLLET MALL STE 1149
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2750
Mailing Address - Country:US
Mailing Address - Phone:612-338-3333
Mailing Address - Fax:612-349-3838
Practice Address - Street 1:825 NICOLLET MALL STE 1149
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2750
Practice Address - Country:US
Practice Address - Phone:612-338-3333
Practice Address - Fax:612-349-3838
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1204229363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0112642OtherMEDICA
MN080L4EPOtherBLUE CROSS BLUE SHIELD
MN911031300Medicaid
MN0112642OtherMEDICA
MNS69367Medicare UPIN