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NPI Code Detail

MEDICARE: MS. LYNN MARIE GEVIK APRN, CNP

MEDICARE: MS. LYNN MARIE GEVIK APRN, CNP
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 Nurse136574-4MN
2163W00000XRegistered Nurse119767-30WI
3363L00000XNurse Practitioner7627-33WI
4363LF0000XFamily Nurse PractitionerCNP2482MN
5363LP0808XPsychiatric/Mental Health Nurse PractitionerCNP2482MN

General Provider Information

NPI Number : 1457794943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LYNN MARIE GEVIK APRN, CNP
Provider Business Mailing Address
First Line : 4121 GLADSTONE ST
Second Line :
City : DULUTH
State : MN
Zip : 55804-1955
Country : US
Telephone Number : 218-591-3604
Fax Number :
Provider Business Practice Location Address
First Line : 7201 METRO BLVD STE 550
Second Line :
City : EDINA
State : MN
Zip : 55439-1353
Country : US
Telephone Number : 218-606-3186
Fax Number : --
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2013
Last Update Date : 04/12/2025

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