Individual
ANNIKA LEIGH GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-4600
Mailing address
640 JACKSON ST FL 1, SAINT PAUL, MN 55101-2502
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8196
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
8196
MN
Other
Enumeration date
05/14/2021
Last updated
07/29/2024
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