Individual provider · Type 1 NPI

Princess Gehyigon-Wallace

Psychiatric/Mental Health Nurse Practitioner · St. Louis Park, MN

NPI number 1275190027 Active

Practice location

3800 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 7362 University Ave NE Ste 310-3, Fridley, MN 55432-3142 · (612) 567-9587

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X6598 (MN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1275190027

Princess Gehyigon-Wallace's National Provider Identifier is 1275190027, issued on May 28, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Louis Park, MN. The record was last updated on Oct 30, 2026.