Individual
MRS. ELLEN GIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
8645 EAGLE POINT BLVD, LAKE ELMO, MN 55042-8628
(651) 493-2890
Mailing address
12678 DOVER DR, APPLE VALLEY, MN 55124-8668
(952) 388-1053
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
190617
MA
363LF0000X
Family Nurse Practitioner
Primary
R 187349-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190617
LICENSE
MA
Enumeration date
01/19/2006
Last updated
02/09/2009
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