Heidi Lynn Gruenhagen CPNP

NPI 1366888984 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1366888984
Gender Female
Enumeration Date 05/22/2013
Last Updated 05/22/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2530 CHICAGO AVE
MINNEAPOLIS MN, 55404-4289, US
Phone (612) 874-1292
Fax
Business Location
3424 CHERRY LN UNIT A
WOODBURY MN, 55129-7727, US
Phone (507) 276-6909
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Minnesota
License Number R176316-8
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According to our database, Heidi Lynn Gruenhagen CPNP NPI is 1366888984, taxonomy code is 363LP0200X and license number is R176316-8, license state is located at Minnesota. Heidi Lynn Gruenhagen CPNP physically located at 2530 Chicago Ave, Minneapolis MN, 55404-4289. NPI Number Heidi Lynn Gruenhagen CPNP has the Individual type.

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1366888984 NPI number is provided on an as is basis without warranty of any kind. 1366888984 is maintained by the National Plan & Provider Enumeration System. The contents of Heidi Lynn Gruenhagen CPNP are for informational purposes only.