Individual
MS. GAYLE ELIZABETH GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNBC
Contact information
Practice address
408 SAINT PETER AVE., 429, ST. PAUL, MN 55102
(651) 224-0614
(651) 224-5754
Mailing address
6504 WARREN AVE S, EDINA, MN 55439-1247
(651) 403-5005
(651) 224-5754
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
R 105954-2
MN
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R 105954-2
MN
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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