Individual provider · Type 1 NPI
Gwendolyn Martinique Kosevich, MSN
Family Nurse Practitioner · St. Paul, MN
NPI number
1013901875
Active
Practice location
295 Phalen Blvd
St. Paul, MN 55130-2400
Fax (651) 495-6201
Mailing address
8170 33rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Other practice locations
- 900 Nicollet Mall, Minneapolis, MN 55403-2530 · (612) 659-7111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R1237131 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1013901875
Gwendolyn Martinique Kosevich, MSN's National Provider Identifier is 1013901875, issued on Sep 8, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Paul, MN. The record was last updated on Jan 14, 2019.