Individual
DEBRA ANN GUTZMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1655 BEAM AVE, SUITE 302, MAPLEWOOD, MN 55109-1163
(651) 232-7031
(651) 232-7826
Mailing address
6919 BLACK DUCK DR, LINO LAKES, MN 55014-1319
(651) 653-1078
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R104719-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43886400
—
WI
Enumeration date
03/20/2006
Last updated
07/08/2007
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