| NPI | 1215528344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALADE LATEEF HAMZA Nurse Practitioner 763-477-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |