Edison, Gina Lynn

Edison, Gina Lynn is an individual health care provider with primary practice located at 111 Hundertmark Rd , Chaska MN 55318-4551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Edison, Gina Lynn can be contacted via phone (952) 556-0071.

Contact Information

Primary practice address
111 Hundertmark Rd Chaska MN 55318-4551
Phone: (952) 556-0071
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 128639 Wisconsin

Profile Details

NPI number 1588763007
LBN Legal business name Edison, Gina Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Oct 24th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588763007 NPPES
Wisconsin MEDICAID 41177800

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