| NPI | 1194598128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARDOWSA OSMAN Family Nurse Practitioner 612-245-8475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |