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