| NPI | 1124852751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN SCHUMANN Psychiatric Nurse Practitioner 218-390-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |