| NPI | 1467961144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MAULWURF MURPHY Nurse Practitioner 612-271-6807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R1346462) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2020-04-24 |