| NPI | 1184593980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH TAKYI CEO 763-439-2396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| Enumeration Date | 2025-10-31 |
| Last Update Date | 2025-10-31 |