Individual provider · Type 1 NPI
Tia Michelle Gullickson, FNP-C
Family Nurse Practitioner · Red Lake Falls, MN
NPI number
1992187868
Active
Practice location
105 International Dr, Ste. 126
Red Lake Falls, MN 56750-4665
Fax (218) 253-4681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | CNP 3937 (MN) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1992187868
Tia Michelle Gullickson, FNP-C's National Provider Identifier is 1992187868, issued on Jun 26, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Red Lake Falls, MN. The record was last updated on Jun 26, 2015.