Individual
SAMANTHA MARIE GUDGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4040 COON RAPIDS BLVD NW STE 120, COON RAPIDS, MN 55433-4568
(763) 427-9980
(763) 236-8903
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14503
MN
363LF0000X
Family Nurse Practitioner
2514023
MN
Other
Enumeration date
07/17/2026
Last updated
08/12/2026
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