Individual
MRS. GRETCHEN ANN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
460 S ELIOT AVE, RUSH CITY, MN 55069-6505
(320) 358-0987
(320) 358-3422
Mailing address
460 S ELIOT AVE, RUSH CITY, MN 55069-6505
(320) 358-0987
(320) 358-3422
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
226100-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226100-9
REGISTERED NURSE-CASE MANAGER
MN
Enumeration date
07/25/2018
Last updated
07/25/2018
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