Individual
CONNIE GERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1165 ARCADE ST, SAINT PAUL, MN 55106-2615
(651) 772-5561
(651) 772-5566
Mailing address
1165 ARCADE ST, SAINT PAUL, MN 55106-2615
(651) 772-5561
(651) 772-5566
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP4195
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952485807
—
MN
Enumeration date
11/23/2015
Last updated
03/08/2021
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