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Individual

GLADYS NDIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6040 EARLE BROWN DR STE 100, BROOKLYN CENTER, MN 55430-2561
(651) 313-8080
Mailing address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 313-8080

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6677
MN
363LP2300X
Primary Care Nurse Practitioner
6677
MN

Other

Enumeration date
06/12/2019
Last updated
08/22/2022
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