Provider Demographics
NPI:1154598365
Name:TWITE LEHNEN, KRISTINE KAY (CNM, RN, IBCLC)
Entity type:Individual
Prefix:MS
First Name:KRISTINE
Middle Name:KAY
Last Name:TWITE LEHNEN
Suffix:
Gender:F
Credentials:CNM, RN, IBCLC
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:KAY
Other - Last Name:TWITE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSN, IBCLC
Mailing Address - Street 1:2925 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-9000
Mailing Address - Fax:
Practice Address - Street 1:7920 OLD CEDAR AVE S
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1207
Practice Address - Country:US
Practice Address - Phone:952-428-1800
Practice Address - Fax:952-428-1723
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA682279163W00000X
CA235955367A00000X
CAL-35360163WL0100X, 163WL0100X
CA10726204163WL0100X
MN487367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant