Individual
DEANA ANNETTE GAUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7907 POWERS BLVD, CHANHASSEN, MN 55317-9502
(952) 906-7835
(952) 906-7837
Mailing address
7907 POWERS BLVD, CHANHASSEN, MN 55317-9502
(952) 906-7835
(952) 906-7837
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R 189674-7
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
R 189674-7
MN
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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