Provider Demographics
NPI:1457794943
Name:GEVIK, LYNN MARIE (APRN, CNP)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:MARIE
Last Name:GEVIK
Suffix:
Gender:
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 GLADSTONE ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55804-1955
Mailing Address - Country:US
Mailing Address - Phone:218-591-3604
Mailing Address - Fax:
Practice Address - Street 1:7201 METRO BLVD STE 550
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-1353
Practice Address - Country:US
Practice Address - Phone:218-606-3186
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN136574-4163W00000X
WI119767-30163W00000X
WI7627-33363L00000X
MNCNP2482363LF0000X, 363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily