Individual
ADNO A GATAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2911 26TH AVE. S, MINNEAPOLIS, MN 55406
(612) 246-6528
Mailing address
2911 26TH AVE. S, MINNEAPOLIS, MN 55406
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1010
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
1010
MN
363LP0200X
Pediatric Nurse Practitioner
R191210-0
MN
Other
Enumeration date
07/23/2013
Last updated
08/25/2022
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