Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Marie Gudgeon, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1174443261

Samantha Marie Gudgeon, NURSEPRACTITIONER is a Nurse Practitioner in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

4040 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-4568
Phone: (763) 427-9980
Fax: (763) 236-8903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 14503 (MN)

Record details

NPI number1174443261
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 17, 2026
Last updated in NPPESJuly 17, 2026
Certification dateJune 18, 2026

Other providers in Coon Rapids