Individual
JULIA A GOURDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(613) 813-8430
(612) 813-6325
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-8430
(612) 813-6325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R149211-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
921497600
—
MN
Enumeration date
01/25/2006
Last updated
04/26/2018
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