Individual
NELLIE LYNN GABRIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
Mailing address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 240-2836
(320) 240-2830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11246
MN
363A00000X
Physician Assistant
1832
MN
Other
Enumeration date
10/26/2012
Last updated
08/25/2015
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