Individual provider · Type 1 NPI

Victoria Sergeyevna Mirkovic, GNP

Gerontology Nurse Practitioner · St. Paul, MN

NPI number 1942230628 Active

Practice location

1700 University Ave W
St. Paul, MN 55104-3727

Fax (888) 972-1770

Mailing address

1541 Hollybrook Rd
Wayzata, MN 55391-1341

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X0740 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1942230628

Victoria Sergeyevna Mirkovic, GNP's National Provider Identifier is 1942230628, issued on Jul 5, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Paul, MN. The record was last updated on Jul 27, 2026.