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NPI Code Detail

MEDICARE: GABRIELLE KLEGSTAD

MEDICARE: GABRIELLE KLEGSTAD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse2487223MN

General Provider Information

NPI Number : 1356295620
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE KLEGSTAD
Provider Business Mailing Address
First Line : 23455 GALENA AVE
Second Line :
City : BELLE PLAINE
State : MN
Zip : 56011-8200
Country : US
Telephone Number : 612-558-3408
Fax Number :
Provider Business Practice Location Address
First Line : 201 E NICOLLET BLVD
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-5714
Country : US
Telephone Number : 952-892-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ GABRIELLE KLEGSTAD ” Practice Location

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