Male or Other

Timothy L. Gbehan NURSE PRACTITIONER

Adult Health Nurse Practitioner in Minneapolis, MN(View on Map)

Full Name

Timothy Leodyu Gbehan NURSE PRACTITIONER

NPI Number

1568170769

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/08/2022

Specialties

(Taxonomies)

Code

363LA2200X
363LG0600X

Primary Taxonomy

Yes
No

Licenses

State

Minnesota

License Number

9704

Contact
Information

Purpose

Mailing
Location

Address

701 PARK AVE
715 S 8TH ST

City

Minneapolis
Minneapolis

State

MN
MN

Postal Code

55415-1623
55404-7530

Country

US
US

Telephone Number

(612) 873-3000
(612) 873-6963

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

tgbehan634699@excellian.direct.allina.com

Endpoint Description

Unknown

Use

Direct

Content Type

Other

Other Description:
DA/PDF/TXT

Affiliation

N

Endpoint Location

255 Smith Ave N Ste 100Saint Paul, MN551022518US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/06/2024

Provider Address

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