GWENDOLYN MARTINIQUE KOSEVICH MSN NPI 1013901875

NPI Information

NPI: 1013901875
Provider Name: GWENDOLYN MARTINIQUE KOSEVICH, MSN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
295 PHALEN BLVD
SAINT PAUL, MN
ZIP 55130
Phone: (651) 495-6603
Get Directions

Gwendolyn Martinique Kosevich, MSN is a family nurse practitioner in Saint Paul, MN with 19 years of experience. Gwendolyn Martinique Kosevich, MSN NPI is 1013901875. 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:

295 PHALEN BLVD
SAINT PAUL, MN
ZIP 55130-400
Phone: (651) 495-6603
Fax: (651) 495-6201

The NPI 1013901875 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/8/2005 and was last updated on 1/14/2019.

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	363LF0000X	Nurse Practitioner	Family	R1237131	MINNESOTA	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: 4/28/2024

NPI Synchronization or Removal

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