Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TIA MICHELLE GULLICKSON, FNP-C
ActiveMRS. TIA MICHELLE GULLICKSON, FNP-C is a Family Nurse Practitioner healthcare provider located in RED LAKE FALLS, Minnesota. NPI 1992187868 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · RED LAKE FALLS, MN
Registration Details
- NPI Number
- 1992187868
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2015 (11.120429953 yrs)
- Last Updated
- Jun 26, 2015
- License
-
CNP 3937 (MN)
Practice Information
- Address
-
105 INTERNATIONAL DRSTE. 126RED LAKE FALLS, MN, 567504665Browse MN providers · Browse ZIP 56750
- Phone
- 2182534606
- Fax
- 2182534681
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.