Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 7965 | MN |
NPI | 1033887898 |
---|---|
Provider Name | Kayla Joyer |
First Address | Cleveland, MN 56017-0123 |
Second Address | Saint Paul, MN 55102-3828 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2021 |
Last Update Date | 04/09/2021 |