Individual
ANTHONY GIANCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2125 E HENNEPIN AVE, MINNEAPOLIS, MN 55413-1766
(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
6087
MN
Other
Enumeration date
03/08/2017
Last updated
04/10/2023
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