Gullickson, Tia Michelle

Gullickson, Tia Michelle is an individual health care provider with primary practice located at 105 International Dr Ste. 126, Red Lake Falls MN 56750-4665. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gullickson, Tia Michelle can be contacted via phone (218) 253-4606.

Contact Information

Primary practice address
105 International Dr Ste. 126 Red Lake Falls MN 56750-4665
Phone: (218) 253-4606
Fax: (218) 253-4681
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP 3937 Minnesota

Profile Details

NPI number 1992187868
LBN Legal business name Gullickson, Tia Michelle
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2015
Last updated Jun 26th, 2015 - about 11 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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