Individual
ALLISON N GOULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2855 CAMPUS DR, #350, PLYMOUTH, MN 55441-2649
(763) 520-1200
(763) 520-1201
Mailing address
2855 CAMPUS DR, #350, PLYMOUTH, MN 55441-2649
(763) 520-1200
(763) 520-1201
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R095685-3
MN
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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