Healthcare Provider Details

I. General information

NPI: 1497661862
Provider Name (Legal Business Name): MARY GURSKA CUFF BSN,RN,LSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4551 W 102ND ST
BLOOMINGTON MN
55437-2610
US

IV. Provider business mailing address

9350 KIOWA TRL
CHANHASSEN MN
55317-8616
US

V. Phone/Fax

Practice location:
  • Phone: 952-806-7973
  • Fax: 952-463-1585
Mailing address:
  • Phone: 952-806-7973
  • Fax: 952-463-1585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number1757349
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: