Provider Demographics
NPI:1295118297
Name:GAYPIA, MEATTA ELLEN (APRN, CNP)
Entity type:Individual
Prefix:
First Name:MEATTA
Middle Name:ELLEN
Last Name:GAYPIA
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Gender:F
Credentials:APRN, CNP
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS 21110Q
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2621 GREENHAVEN RD
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-5566
Practice Address - Country:US
Practice Address - Phone:763-587-4488
Practice Address - Fax:763-587-4489
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2024-05-08
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Provider Licenses
StateLicense IDTaxonomies
MNCNP3221363LA2200X
MN3221363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health