Provider Demographics
NPI:1386200228
Name:UTLEY, GENEVIEVE ELIZA CURTIS (APRN, FNP, PMHNP)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:ELIZA CURTIS
Last Name:UTLEY
Suffix:
Gender:F
Credentials:APRN, FNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 E 42ND ST STE B
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-3068
Mailing Address - Country:US
Mailing Address - Phone:612-735-0997
Mailing Address - Fax:617-362-2618
Practice Address - Street 1:2717 E 42ND ST STE B
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-3068
Practice Address - Country:US
Practice Address - Phone:612-735-0997
Practice Address - Fax:617-362-2618
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6587363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily