Individual
GINA MARIE AHLNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN ,CNP
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5683
MN
363LP2300X
Primary Care Nurse Practitioner
5683
MN
Other
Enumeration date
02/14/2018
Last updated
06/01/2022
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