Individual
GENET NEGASH GHEBRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 326-3700
(651) 326-3706
Mailing address
5206 RED OAK DR, MOUNDSVIEW, MN 55112-4847
(651) 307-8016
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP0705
MN
363LG0600X
Gerontology Nurse Practitioner
CNP0705
MN
Other
Enumeration date
06/18/2009
Last updated
06/10/2021
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