Individual
STEPHANIE LYNAE GULBRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6545 FRANCE AVE S, EDINA, MN 55435-2131
(952) 836-3695
Mailing address
6545 FRANCE AVE S STE 450, EDINA, MN 55435-2122
(952) 836-3695
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6178
MN
Other
Enumeration date
09/13/2018
Last updated
04/03/2019
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