| NPI | 1063653038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA EDGAR PARKER Owner/Presdient 952-465-7942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 927367-2) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN 927367-2) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 927367-2) | |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |