Individual
CONNIE M GRATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
610 30TH AVE W, ALEXANDRIA CLINIC, ALEXANDRIA, MN 56308
(320) 763-5123
(320) 763-7883
Mailing address
610 30TH AVE W, ALEXANDRIA CLINIC, ALEXANDRIA, MN 56308
(320) 763-5123
(320) 763-7883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0721761
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408724100
—
MN
01
—
500001667
RR MEDICARE
MN
Enumeration date
01/24/2006
Last updated
08/09/2013
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