Gourde, Julia A

Gourde, Julia A is an individual health care provider with primary practice located at 2525 Chicago Ave , Minneapolis MN 55404-4518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gourde, Julia A can be contacted via phone (613) 813-8430.

Contact Information

Primary practice address
2525 Chicago Ave Minneapolis MN 55404-4518
Phone: (613) 813-8430
Fax: (612) 813-6325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R149211-2 Minnesota

Profile Details

NPI number 1861462582
LBN Legal business name Gourde, Julia A
Credentials RN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Apr 26th, 2018 - about 6 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 1861462582 NPPES
Minnesota MEDICAID 921497600

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