Individual
MRS. STEPHANIE MARIE GOESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-7800
(612) 262-7022
Mailing address
1157 SHRYER AVE W, ROSEVILLE, MN 55113-5933
(612) 226-7716
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R 156917 1
MN
363LG0600X
Gerontology Nurse Practitioner
R 156917 1
MN
Other
Enumeration date
07/07/2014
Last updated
11/07/2022
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