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

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR1237131 (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.