| NPI | 1174176143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH C BROWN Owner/Ap RN 952-923-7256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |