Gutzman, Debra Ann

Gutzman, Debra Ann is an individual health care provider with primary practice located at 1655 Beam Ave Suite 302, Maplewood MN 55109-1163. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Gutzman, Debra Ann can be contacted via phone (651) 232-7031.

Contact Information

Primary practice address
1655 Beam Ave Suite 302 Maplewood MN 55109-1163
Phone: (651) 232-7031
Fax: (651) 232-7826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R104719-8 Minnesota

Profile Details

NPI number 1346209343
LBN Legal business name Gutzman, Debra Ann
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1346209343 NPPES
Wisconsin MEDICAID 43886400

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