Provider Demographics
NPI:1891506564
Name:FLATNESS, KRISTIN MARIE (RN)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:MARIE
Last Name:FLATNESS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:MN
Mailing Address - Zip Code:56042-7701
Mailing Address - Country:US
Mailing Address - Phone:507-383-9729
Mailing Address - Fax:
Practice Address - Street 1:1600 8TH AVE NW
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-1400
Practice Address - Country:US
Practice Address - Phone:507-396-8284
Practice Address - Fax:833-906-2453
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA161942163W00000X
MN2464402163WP0808X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty