Gothro, Janet S

Gothro, Janet S is an individual health care provider with primary practice located at 6490 Excelsior Blvd Ste E111, St Louis Park MN 55426-4705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gothro, Janet S can be contacted via phone (952) 993-5029.

Contact Information

Primary practice address
6490 Excelsior Blvd Ste E111 St Louis Park MN 55426-4705
Phone: (952) 993-5029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R 099116-4 Minnesota

Profile Details

NPI number 1356329288
LBN Legal business name Gothro, Janet S
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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