MS. Alison Goulet Sample, FPMHNP
MS. Alison Goulet Sample, FPMHNP is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2011, 15 years ago. Practices with Hennepin Healthcare System Inc, a 903-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 15
- Licensed in
- MN
- In the registry since
- 2012
Practice location Address checks out
701 Park AveMinneapolis, MN 55415-1623
Phone: (612) 873-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence R184366-4 (MN) |
|---|
Record details
| NPI number | 1386918381 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | FPMHNP |
| Sole proprietor | No |
| NPI enumerated | March 8, 2012 |
| Last updated in NPPES | March 8, 2012 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Hennepin Healthcare System Inc — 903 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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