| NPI | 1497615330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAS ANWAR AL THAHABI Owner 507-517-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 172V00000X Community Health Worker | |
| 207Q00000X Family Medicine | |
| 1041C0700X Social Worker, Clinical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-11-13 |
| Last Update Date | 2026-03-19 |