Individual
PHILIP JOSEPH GYURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-BC
Contact information
Practice address
700 RAYMOND AVE STE 130, SAINT PAUL, MN 55114-1778
(612) 895-1510
(833) 979-0945
Mailing address
700 RAYMOND AVE STE 130, SAINT PAUL, MN 55114-1778
(612) 895-1510
(833) 979-0945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
657718
NY
163W00000X
Registered Nurse
R-190688-6
MN
363LF0000X
Family Nurse Practitioner
Primary
5139
MN
363LF0000X
Family Nurse Practitioner
F338490-1
NY
Other
Enumeration date
07/17/2013
Last updated
12/16/2021
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