| NPI | 1134918550 |
|---|---|
| Doing Business As | SERENE MEDICAL CLINIC LLC: |
| Entity Type | Organization |
| Authorized Contact | FARTUN AHMED KEYNAN Nurse Practitioner 612-501-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-09-03 |