Individual
QUINCEE LYNN MACGIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6452 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 999-0333
Mailing address
1251 CROSSWINDS WAY, WACONIA, MN 55387-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6656
MN
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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