Gretchen E. Porter RN, CNP, LAC
Adult Health Nurse Practitioner in Minneapolis, MN(View on Map)
Full Name
Gretchen Evanne Porter RN, CNP, LAC
NPI Number
1558372953
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/10/2006
Specialties
(Taxonomies)Licenses
State
Minnesota
Minnesota
License Number
R0713753
1305
Contact
Information
Purpose
Mailing
Location
Address
5208 BLOOMINGTON AVE
5208 BLOOMINGTON AVE
City
Minneapolis
Minneapolis
State
MN
MN
Postal Code
55417-1820
55417-1820
Country
US
US
Telephone Number
N/A
(612) 916-0774
Identifiers
Identifier
4927427-00
Identifier State
MN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/20/2008