Individual
NANCY GAYLE GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-4352
Mailing address
2290 7TH ST, WHITE BEAR LAKE, MN 55110-2811
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R102562-8
MN
Other
Enumeration date
10/11/2006
Last updated
11/25/2009
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