TRACY LYNN GUNDERSON REGISTERED NURSE BSN NPI 1134986409

NPI Information

NPI: 1134986409
Provider Name: TRACY LYNN GUNDERSON, REGISTERED NURSE BSN
Classification: Registered Nurse - 163WG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
4801 VETERANS DR
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 252-1670
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Tracy Lynn Gunderson, REGISTERED NURSE BSN is a gastroenterology registered nurse in Saint Cloud, MN. Tracy Lynn Gunderson, REGISTERED NURSE BSN NPI is 1134986409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4801 VETERANS DR
SAINT CLOUD, MN
ZIP 56303-015
Phone: (320) 252-1670
Fax: (320) 202-2720

The enumeration date for this NPI number is 3/4/2024 and was last updated on 3/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0100X	Registered Nurse	Gastroenterology	116744	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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