is a Family in Champlin, Minnesota. practices all healthcare services and medical treatments related to Family. The NPI Number for is 1285891135. The last update date is .
's current location address is 8547 121st Ave N, Champlin, Minnesota. You can contact this provider via phone number 7633003554. The mailing address for is 8547 121st Ave N, Champlin, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 8547 121st Ave N, Champlin, Minnesota |
| Phone Number | 7633003554 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1285891135 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 8547 121st Ave N |
|---|---|
| City | Champlin |
| State | Minnesota (MN) |
| Post Code | 553162054 |
| Phone Number | 7633003554 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 159406-5 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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