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Individual

LINDA A EGWIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP, GNP

Contact information

Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2720
(612) 904-4243
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6005
(612) 630-8242

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
355725-21
MN
363LG0600X
Gerontology Nurse Practitioner
352079-23
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-03064
MEDICA
MN
05
408970700
MN
01
45D97ND
BLUE CROSS BLUE SHIELD
MN
01
P00069038
MEDICARE RAILROAD
MN
Enumeration date
06/10/2006
Last updated
10/12/2025
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