NPI 1023025517

Holley Gullickson

Practitioner Nurse Practitioner Robbinsdale, MN

Practice location

Address: 3366 Oakdale Ave N Suite 605, Robbinsdale, MN 55422-2948
Phone: (763) 520-2940

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence R1551082 (MN)

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Registry record

NPI: 1023025517
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.